Can Hidradenitis Suppurativa be treated with long-term corticosteroid (steroid) therapy?

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Last updated: February 10, 2025View editorial policy

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From the Research

Treatment Options for Hidradenitis Suppurativa

  • Hidradenitis Suppurativa (HS) is a chronic inflammatory skin disease that can be challenging to treat, with various options available, including medical and surgical interventions 1, 2.
  • While there is no cure for HS, symptoms can be managed with appropriate diagnosis and treatment, which may include antibiotics, anti-inflammatory therapy, hormonal therapy, and biologics 1, 3.

Use of Corticosteroids in HS Treatment

  • Intralesional corticosteroid injection has been shown to be effective in treating acute and chronic HS lesions, with complete response rates ranging from 70.37% to 95% 4, 5.
  • Ultrasound-guided injection of intralesional steroids has been found to be beneficial in reducing pain, edema, and vascular signals, with significant improvements in quality of life and disease severity 5.
  • However, the use of long-term corticosteroid therapy for HS is not well-established, and more research is needed to determine its efficacy and safety 1, 2.

Limitations and Future Directions

  • Current treatment options for HS have varying degrees of effectiveness, and there is a need for more research to develop new and improved therapies 1, 2.
  • The use of corticosteroids in HS treatment is largely based on small case series and observational studies, and more robust clinical trials are needed to confirm their efficacy and safety 4, 5.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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