ABSTRACT

Hidradenitis suppurativa is a chronic inflammatory disorder of apocrine glands characterized by recurrent abscess, sinuses and scars. The disorder affects life quality significantly and usually involves axillae, groins, perineal and perianal regions.

The etiology of the disease has been explained exactly. However follicular occlusion is thought to be the main cause. The treatment of the disorder is very difficult. The medical treatment is preferred for mild and modarate disease, whereas surgical treatment is suggested for severe disease.Among the medical treatment, there are systemic and topical antibiotics, intralesional steroid injection, systemic retinoids and hormonal therapy.

The options of surgical treatment of disease change from drainage to radical excision, and the therapy should be choosen according to the severity of the disease. Whatever the therapeutic options are, recurrence is the most important causes of the morbidity of hidradenitis suppurativa.