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Centre of Evidence of Dermatology Best practice guidelines

Guidelines hidradenitis suppurativa Updated on august 2019

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The information provided by this website comes from sources deemed reliable. However, the French Dermatology Society recommends that the user ensure the validity of this information. Some may prove to be erroneous or be subject to typos or display errors.

The use of this data is under the sole responsibility of the user. The French Dermatology Society cannot be blamed for a misinterpretation of the data provided by the site, or in the event of erroneous information. This decision tree and all the contents of this site have been developed in the context of updated data from science according to the HAS methodology, expert opinions and reviewers of the various documents and in the context of the French healthcare system.

Hurley stage Ⅲ

Back to decision-making tree Print last updated on 01/04/2020

Specialised multidisciplinary care [B]

Initial treatment

  • Ceftriaxone (IV, IM or SC)
    1 g/d (if < 60 kg) to 2 g/d (if ≥ 60 kg)
    + metronidazole oral dose (500 mg 3×/d)

OR

  • Levofloxacine (500 mg, 1-2x/d)
    + clindamycin (600 mg, 3x/d)

→ for 15 to 21 days

read antibiotherapy

Options

After initial treatment, the following options should be discussed according to the Medical and surgical concertation meeting opinion:

A
In cases of treatment failure, intolerance or contraindication for cyclins antibiotics (risk of serious toxidermia)
B
Medical and surgical concertation meeting specifically on HS
C
Double dose if weight > 80 kg
D
MA, but not reimbursed
E
No MA
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