Key points

■ Immunosuppression is a possible therapeutic strategy in the treatment of hidradenitis suppurativa (HS)

■ Immunosuppressive or anti-inflammatory drugs are generally safe in HS

■ The use of immunosuppression in the absence of bacterial infection often brings rapid relief to patients

■ Immunosuppressive drugs can be used to control flares, and prepare the patient for surgery, for example

■ Longer term immunosuppression may help the patient gain better control of their disease for a period

■ Immunosuppressive therapy alone is unlikely to be curative





Introduction 136

What Can We Achieve With Therapy?... 137

Immunosuppressive Therapies 137

Prednisolone and Other Corticosteroids 138

Ciclosporin 138

Dapsone 138

Methotrexate 138

Hidradenitis Suppurativa as a Side-Effect ofImmunosuppressive Drugs 139

Practical Use ofImmunosuppressive Therapy 139

References 140

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