Treatment of Hidradenitis Suppurativa — Hurley Stage I with Recurrent Nodules and Abscesses

This protocol applies to a non-pregnant adult patient with Hidradenitis suppurativa at Hurley Stage I: a pattern of recurrent nodules and abscesses accompanied by minimal scarring. The clinical goal is to reduce active lesion burden and prevent stage progression.

Clinical Scenario

Hurley Stage I is characterized by recurrent nodules and abscesses with minimal scarring — the earliest and most limited stage of the disease, distinct from the sinus tract formation and more extensive scarring that define later stages. Identifying patients at this stage creates an opportunity for effective early intervention.

Approach (Partial Overview)

The protocol incorporates lifestyle modification counseling alongside antibiotic-based therapy — both applied at a local level and via a systemic route. The complete regimen, including the full sequence of options and all clinical decision points, is available through the link below.

Treatment Goals