• J Emerg Med · Nov 2022

    Review

    Hidradenitis Suppurativa: Diagnosis and Management in the Emergency Department.

    • Martin M Okun, Avram Flamm, Elizabeth Barrall Werley, and Joslyn S Kirby.
    • Department of Dermatology, Fort HealthCare, Fort Atkinson, Wisconsin.
    • J Emerg Med. 2022 Nov 1; 63 (5): 636644636-644.

    BackgroundHidradenitis suppurativa (HS) is a chronic immune-mediated inflammatory skin disease characterized by abscesses and inflammatory nodules, and occasionally tunnels and scars, in the axillae, groin, and inframammary areas.ObjectiveHS can be challenging to diagnose because it mimics localized soft-tissue infection. The process of differentiating HS from soft-tissue infection is discussed. Patients with HS frequently visit emergency departments (EDs) for acute management of pain and drainage from HS lesions. This review updates emergency and urgent care physicians on how to educate and initiate treatment for patients with HS, and to coordinate care with dermatologists and other physicians early in their disease course.DiscussionRecent updates on the epidemiology, diagnosis, and management of HS are reviewed.ConclusionsPractice variations between how care for HS is provided in the ED setting and what HS treatment guidelines recommend are identified.Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.

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