Hidradenitis Suppurativa: A Comparison of Guidelines

The document compared European, German, and American guidelines for treating hidradenitis suppurativa (HS), emphasizing a multidisciplinary approach involving lifestyle changes, pain management, and various medical and surgical treatments. The German guidelines recommended systemic antibiotics and surgical excision, while European guidelines included pain management and lifestyle modifications. American guidelines emphasized stage-dependent treatments with extensive use of systemic antibiotics before immunosuppressive therapy. All guidelines highlighted the importance of early diagnosis, appropriate treatment, and lifestyle changes such as smoking cessation and weight loss. The document also discussed the effectiveness of various treatments, including antibiotics, immunosuppressive treatments, biologics, and surgical options, noting the need for more large-scale, randomized studies to establish a gold standard for HS treatment.