Hidradenitis suppurativa

What you need to knowAsk about recurrent patterns and typical sites of boil outbreaks to avoid misdiagnosis, as earlier initiation of treatment reduces disease burdenScreen for cardiovascular disease risk factors, mental illness, and the effect on quality of life Refer to dermatology when patients have severe disease or when mild to moderate disease has not responded to first line treatment with tetracyclines in primary careA man in his 20s presents to primary care with a painful boil in the buttock area. He describes having had more than six painful nodules in the groin and buttock areas over the past five years that have been managed with short courses of antibiotics. He is a smoker and recalls that his mother may have had similar symptoms when she was younger. The lesions have affected his mental health and his relationship with his partner. On examination, the patient’s body mass index is 22;…
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