Overview
Hidradenitis suppurativa (HS) is a chronic, inflammatory skin disease characterized by recurrent, painful nodules, abscesses, and sinus tracts, typically affecting apocrine gland-rich areas like the axillae, groin, and buttocks 1. Multiple treatment modalities are utilized, with varying degrees of effectiveness 1.Diagnosis
Diagnosis is primarily clinical, based on the presence of characteristic lesions 1.
Grading systems, such as the Goodman Baron qualitative scar grading system, can be used to assess severity 1.Management
Combined Therapies: Platelet-rich plasma (PRP) combined with laser therapy demonstrated the highest effectiveness in patient satisfaction scores and scar grading in a network meta-analysis 1.
Laser Therapy: Laser treatment alone was also found to be effective for acne scars 1.
Microneedling: Microneedling, with or without PRP, showed moderate effectiveness for acne scars 1.
Autologous Fat Grafting: Autologous fat grafting was found to be less effective compared to laser and combined PRP and laser therapies 1.
Platelet-Rich Plasma (PRP): PRP alone was the least effective monotherapy for acne scars in the analyzed studies 1.Key Recommendations
Combined therapy of PRP and laser may be the most effective treatment for acne scars 1. (Evidence: Moderate)
Laser therapy alone is an effective treatment option for acne scars 1. (Evidence: Moderate)
Microneedling, with or without PRP, can be considered for the management of acne scars 1. (Evidence: Moderate)References
1 Jiang M, Liu T, Liu X, Liu L, Jiang X, Zhang Z et al.. A Network Meta-analysis to Explore the Effectiveness of the Different Treatment Modalities in Acne Scars. Aesthetic plastic surgery 2024. link