Conservative Management on Hidradenitis Supurativa Hurley III Bilateral

Abstract

Hidradenitis suppurativa (HS) is a skin disease caused by inflammation of hair follicles, characterized by perifollicular lymphocytic infiltrate followed by recurrent loss of sebaceous glands. Currently, the etiology of HS is still idiopathic; there are predisposing factors that can affect this disease, such as the immune system, hormones, obesity, smoking, and family history. It can cause occlusion and inflammation of hair follicles, which worsens the infection. Based on epidemiology, women are generally the largest population in HS. Hidradenitis suppurativa cases are rare and dependent on the population but can affect the patient's quality of life. Here in, we present a 21-year-old man complaining of pus coming out of both armpits 2 days before going to the clinic. The patient had complained of the same thing 6 years ago and had a history of frequent shaving of armpit hair. General and physical examinations were normal. The obtained dermatologological status shows Hurley grade III hidradenitis suppurativa in the bilateral axilla. This patient was given a conservative management with a combination of oral antibiotics of Rifampicin and Clindamycin for 8 weeks, and fusidic acid as a topical antibiotic, then Paracetamol as an analgesic. After comparing cases and theories, it was found that there were variations in epidemiology and etiology. The first-line conservative management of HS is oral medications and can also involve operative management adjusted to the condition and severity of HS. In this case of Hidradenitis Suppurativa Hurley III Bilateral, it was treated with conservative management and has shown improvement.