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How do you approach HS patients with persistent HS lesions on the trunk?
Have you had success with deroofing or surgical excision? Is ILK the best option?
Answer from: at Academic Institution
I have a similar approach to HS in other areas, but surgical procedures are a little easier when it comes to positioning. I definitely trying intralesional triamcinolone. After the studies on higher dose, I use 40mg/cc since it has the potential to permanently heal nodules, abscesses, and tunnels. D...
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Answer from: at Community Practice
Dr. @Daveluy's recommendation of a higher concentration ILK is definitely a primary option. There may be some dyspigmentation and potentially focal atrophy, however, most patients are willing to accept these outcomes if the lesions stop draining.
Intralesional Cryo/Cryoinsufflation can also be quit...