Centre of Evidence of Dermatology Best practice guidelines

Guidelines hidradenitis suppurativa Updated on august 2019


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Treatment with retinoids

Back to decision-making tree Print last updated on 10/11/2020

The level of proof is insufficient to recommend the use of isotretinoin, acitretin and alitretinoin in HS. However, in follicular HS (“punched-out” scars, ice-pick scars, follicular epidermal cysts, comedones and pilonidal sinus), retinoids may be used.

Expert commentary:

Some experts are not in favour of the use of isotretinoin in HS. Others recommend acitretinoin in men and alitretinoin or isotretinoin in women for follicular forms.

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