Hidradenitis
Painful recurrent nodules controlled with modern therapy.
Hidradenitis suppurativa is a chronic inflammatory disease of the hair follicle in the underarms, groin and under the breasts. It produces painful nodules, abscesses, draining tracts and, over time, scarring.
- Hurley I–III
- Staging
- 8–12 wks
- First results
- Biologics
- Options
- Long term
- Care
- Long-course & combination antibiotics
- Hormonal therapy
- Biological therapy
- Intralesional corticosteroids
Diagnosed first, treated second.
It is frequently mistaken for recurrent boils and treated with repeated antibiotic courses for years. Correct staging and modern therapy — including biologics — change the trajectory of the disease entirely.
- 01Long-course & combination antibiotics
- 02Hormonal therapy
- 03Biological therapy
- 04Intralesional corticosteroids
- 05Deroofing & surgical excision
- Recurrent painful lumps in the folds
- Abscesses returning to the same site
- Draining tracts or persistent odour
- Years of repeated antibiotic courses
- Scarring in the underarms or groin
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Staging
Hurley staging documents nodules, tracts and scarring across affected sites.
- 02
Metabolic review
Smoking, weight, insulin resistance and hormonal factors are addressed.
- 03
Medical therapy
Antibiotics, hormonal therapy or biologics selected according to stage.
- 04
Procedures
Injection, deroofing or excision for tracts that no longer respond medically.
Results measured, not promised.
What to expect
- 01Pain and flare frequency reduced
- 02Drainage and odour controlled
- 03New tract formation prevented
- 04Scarring limited
- 05Quality of life measurably improved
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for hidradenitis — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
No. It is a distinct chronic inflammatory disease requiring specific long-term management.
Absolutely not. It is follicular and immune-driven, with genetic and metabolic contributors.
Yes — for moderate to severe disease they significantly reduce flares and progression.
Only for established tracts and scarring that no longer respond to medical therapy.