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Summary Of Grade I Axillary Hidradenitiva

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Background and Objectives: Hidradenitis suppurativa is a chronic inflammatory cutaneous disorder affecting the infundibular terminal follicles in areas rich of apocrine glands. The clinical course is variable, and definitive evidence-based guidelines for the management are not well established. Conservative treatment is controversial, and surgical excision is the recommended method. we aim in this study to analyze the results of a modified conservative tissue preserving management protocol for grade I axillary hidradenitis suppurativa. Materials and Methods: Retrospective analysis of the results of 627 patients who were diagnosed and treated for grade I axillary hidradenitis suppurativa between January 2000 and December 2010 was done. 349 (55.66%) were females, and 278 (44.34%) were males. The modified conservative treatment protocol consisted of three times per day washing the affected area by antibacterial soap, application of warm compresses for 10 minutes, followed by application of topical Sodium fusidate 2% ointment, with abstinence of arm bit shaving during treatment period .…show more content…
Recurrence rate was 1.9% (12 patients), in which all patient were retreated conservatively and had complete healing, none required surgical intervention. Conclusion: We conclude that hidradenitis suppurativa continues to be a challenging disease for patients and physicians. A tissue preserving conservative method for treating grad I axillary hidradenitis suppurativa showed a promising result. Further research should be conducted on the optimal treatment
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