Centre of Evidence of Dermatology Best practice guidelines

Guidelines hidradenitis suppurativa Updated on august 2019


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Hurley stage Ⅰ
Less than 4 outbreaks per year

Back to decision-making tree Print last updated on 12/02/2020

No prophylactic treatment.

First-line treatment

During outbreaks:

  • Cleansing with soap and water
  • Amoxicillin-clavulanic acid
    50 mg/kg/d (1 g 3×/d; maximum 4.5 g)


  • Pristinamycin
    (1g 3×/j)

→ for 7 days

read antibiotherapy

+ delivery of prescriptions in advance

During outbreaks, recommendations are identical as for the initial prescription.

+ during outbreaks: incision and drainage to relieve pain.

In case of relapse at same location

Limited excision:

read surgical treatment

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read next: ≥ 4 outbreaks / year read next: Hurley stage Ⅱ

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