Top Clinical Insights: Difficult HS Cases: How I Do It
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Clinical Practice
- Spironolactone can be used as hormonal therapy for women with Hidradenitis Suppurativa (50-200 mg daily). Finasteride can be used as hormonal therapy for males (2.5-10 mg daily) with Hidradenitis Suppurativa.
- If a Hidradenitis Suppurativa patient being treated adalimumab is well-controlled initially, but starts to flare, increase the dose to 80 mg weekly.
- Always send tissue from Hidradenitis Suppurativa deroofing or scar excision to pathology because Hidradenitis Suppurativa has an elevated risk for Squamous Cell Carcinoma.