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Hs second opinion
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Hs second opinion and further steps for long term relief.
Meds and laser applicability
Answers (8)
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●𝗬𝗲𝘀 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 .
●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰
●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳.
●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲 𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.
Answered
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I think the treatment is justified.
As per the Hurley stage.
There are biologicals available however its for advanced stages or if your quality of life is poor.
Next Steps
high protein low carb diet. and avoid processed food
strength training
lifestyle changes with stress management (pls try meditation daily and spend 30 minutes of time in doing your hobby/whatever you like..stress increases cortisol and causes inflammation and hence HS
Health Tips
avoid weight gain
Answered
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Good, a well narrated history, but remember one thing HS is a disease with long term course and with remissions n exacerbations. There are few trails showing good results with RCin n clinda combination... because of this it is not mandatory to start all the pts with the same combo. Isotretinoin has very good results in few n moderate results in most of the pts n no improvement in few. So it is totally depends on the dermatologist you are under treatment. As she / he examines you in person they know it better. Sometimes we do start isotretinoin with RCin or isotretinoin with clindamycin like that. So it depends on your dermatologist to consider the plan according to your disease severity. Anyway you need longer time follow up.
Coming to the hair reduction part, yes LHR ll definitely decrease the exacerbations ( practically I have seen this in many of my patients) . To consider it for full body or only the local area is your choice.
Answered
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Please do not worry. Effective treatment options are available; however, management depends on the severity and extent of the condition. A detailed medical history is essential for appropriate evaluation and treatment planning.
Kindly schedule an online consultation with a dermatologist for a comprehensive assessment, prescription, and further guidance.”
Answered
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Hidradenitis flaring around your periods is a recognised pattern, since both inflammation around hair follicles and androgen levels shift across the cycle. Your hormone panel, including AMH and testosterone, came back normal, which makes an underlying PCOS-type driver less likely.
Next Steps
Please discuss this with your treating dermatologist before changing the antibiotic combination or starting isotretinoin alongside, since they have your skin and labs in full. If flares keep tracking your cycle despite treatment, consult a gynaecologist about hormonal options too.
Health Tips
Isotretinoin isn't safe in pregnancy, so please use reliable contraception for the full course and for some time after stopping it.
Answered
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