How are draining sinuses treated in hidradenitis suppurativa (HS)?

Updated: Aug 30, 2019
  • Author: Marina Jovanovic, MD, PhD; Chief Editor: William D James, MD  more...
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Answer

Intralesional steroid injection with either a syringe or an automatic needleless injector usually decreases the size of draining sinuses. The injection of 0.05-0.25 mL of triamcinolone acetonide suspension (2.5-10 mg/mL) into each lesion (up to 3-6 mL per visit) is recommended for its anti-inflammatory effects. This treatment can be repeated every 2-3 weeks if necessary. [84] These injections should be avoided if there is clinical evidence of infection. [2]


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