Practical Management of Hidradenitis Suppurativa

Strengthen your approach to hidradenitis suppurativa (HS) by considering not only the clinical features of the disease, but also the individual needs and experiences of each patient. Explore how to select medical therapies and office-based procedures based on disease severity, lesion characteristics, comorbidities, and patient preferences, while recognizing the ways HS can affect quality of life. Gain practical strategies for addressing pain, wound care, and the psychosocial challenges of HS to provide more supportive and comprehensive care.

Availability
On-Demand
Expires on Sep 30, 2029
Credit Offered
7 CME Credits

Date of Original Release: September 15, 2026
Date of Expiration:
September 15, 2029
Estimated Time of Completion: 
7 hours

Target Audience
Dermatologists and others involved in the delivery of dermatologic care.

Statement of Need

Hidradenitis suppurativa (HS) reaches dermatology late. Patients wait an average of seven to ten years for a diagnosis, consulting three or more clinicians and accumulating multiple misdiagnoses before they arrive in dermatologic care. By that point, disease is often established and scarred, prior treatment has failed, and the dermatologist assumes responsibility for the full scope of management.

That scope has widened considerably. Evidence-based medical therapy for HS has changed substantially over the past decade, and adoption in general dermatology practice has lagged behind the evidence. Procedural management presents a parallel gap: deroofing, excision, and related in-office techniques are taught inconsistently across residency and dermatologic surgery fellowship programs, concentrating procedural expertise in a limited number of centers and lengthening wait times for patients outside major metropolitan areas. Supportive care receives the least attention of all. Chronic pain, itch, and complex wound care shape daily life for patients with HS, and dermatologists report limited formal training and low confidence in addressing these needs, particularly pain.

This on-demand course addresses medical therapy, in-office procedures, and supportive care through focused, practical instruction that dermatologists can complete at their own pace and apply directly to patient care.

Learning Objectives
Following participation in this activity, the learner should be able to:

  • Offer appropriate evidence-based medical therapies for HS, incorporating factors such as disease severity, comorbid conditions, and patient preferences.
  • Select and perform appropriate in office procedures for patients with HS based on lesion morphology and patient preferences.
  • Recognize the psychosocial burden of HS and offer primary supportive care measures to address pain and wound care.

 

Accreditation Statement
The American Academy of Dermatology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

AMA PRA Credit Statement
The American Academy of Dermatology designates this enduring material for a maximum of 7 AMA PRA Category 1 CreditTM. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Instructions to Claim Credit
To claim CME credit for this activity, the learner must complete the posttest and achieve a minimum passing score of 70% and complete the post-activity evaluation survey.

Planners

Jonathan Rick, MD, FAAD, Course Chair
Assistant Professor

University at California at Davis
Sacramento, California

Afsaneh Alavi, MD, FAAD
Professor
Mayo Clinic
Rochester, Minnesota

Steven Daveluy, MD, FAAD
Professor
Wayne State University
Dearborn, Michigan

Jonathan Rick, MD, FAAD
Assistant Professor

University at California at Davis
Sacramento, California

 

Lauren Orenstein, MD, MSc, FAAD
Associate Professor
Emory University
Atlanta, Georgia

Reviewers

Daniel Eisen, MD, FAAD
Professor

University of California Davis
Sacramento, California

 

Bethany Rohr, MD, FAAD

Assistant Professor

University Hospitals Cleveland Medical Center

Cleveland, Ohio

 

Faculty

Afsaneh Alavi, MD, FAAD
Professor
Mayo Clinic
Rochester, Minnesota

Parish Armstead
HS Connect, HS Brotherhood Podcast
Buffalo, New York

Alexandra Charrow, MD, FAAD
Assistant Professor
Harvard Medical School and Brigham and Women's Hospital
Boston, Massachusetts

Colleen Cotton, MD, FAAD
Assistant Professor
Children's National Hospital
Washington, District of Columbia

Steven Daveluy, MD, FAAD
Professor
Wayne State University
Dearborn, Michigan

Iltefat Hamzavi, MD, FAAD
Senior Staff Physician
Henry Ford Hospital
Detroit, Michigan

Jennifer Hsiao, MD, FAAD
Associate Professor
University of Southern California
Los Angeles, California

Katrina Lee, MD, FAAD
Assistant Professor
Keck School of Medicine of University of Southern California
Los Angeles, California

Hadar Lev-Tov, MD, FAAD
Associate Professor
University of Miami
Miami, Florida

Robert G. Micheletti, MD, FAAD
Associate Professor
University of Pennsylvania
Philadelphia, Pennsylvania

Lauren Orenstein, MD, MSc, FAAD
Associate Professor
Emory University
Atlanta, Georgia

Christopher Sayed, MD, FAAD
Professor
University of North Carolina
Chapel Hill, North Carolina

Drew Saylor, MD, FAAD
Associate Professor
University of California San Francisco
San Francisco, California

Vivian Shi, MD, FAAD
Professor
University of Washington
Seattle, Washington

Staff

 

Christine Presta
Director, Digital Learning
Rosemont, Illinois

 

Janet Chester

Senior Manager, Digital Learning
Rosemont, Illinois

 

Dustin Herlich
Senior Manager, Learning Experience
Rosemont, Illinois


Blanca Torres-Olave, PhD
Senior Instructional Designer
Rosemont, Illinois

 

Melinda Keske
Senior Administrator, Learning Management
Rosemont, Illinois


Emma Boyke
Specialist, Digital Learning
Rosemont, Illinois

 

Juliana Bozeman
Medical Illustrator

Roberto Lambertini
Instructional Designer

 

Brandon Schawel
Instructional Designer

 

Disclosures

Contributor Name

Commercial Interest

Financial Relationship

Compensation

Jonathan Rick, MD

Incyte Corporation

Consultant (1099 relationship)

Fees

Steven Daveluy, MD, FAAD

AbbVie

Speaker

Honoraria

AbbVie

Advisory Board

Honoraria

AbbVie

Consultant (1099 relationship)

Honoraria

Incyte

Advisory Board

Honoraria

Insmed

Investigator

Grants/Research Funding

Leo Pharma

Investigator

Grants/Research Funding

MoonLake Immunotherapeutics

Investigator

Grants/Research Funding

Novartis

Speaker

Honoraria

Pfizer Inc.

Investigator

Grants/Research Funding

Regeneron

Investigator

Grants/Research Funding

Sanofi

Investigator

Grants/Research Funding

Takeda Pharmaceuticals USA Inc

Investigator

Grants/Research Funding

UCB

Consultant

Fees

UCB

Investigator

Grants/Research Funding

UCB

Speaker

Honoraria

Afsaneh Alavi, MD, FAAD

AbbVie

Advisory Board

Honoraria

Almirall

Data Safety Monitoring Board

Fees

Almirall

Consultant (1099 relationship)

Honoraria

Alumis

Advisory Board

Honoraria

Avalo

Consultant (1099 relationship)

Fees

Boehringer Ingelheim

Investigator

Fees

Boehringer Ingelheim

Investigator

Fees

Cantargia

Consultant (1099 relationship)

Fees

Dermatology Times (MMM MultiMedia Medical, LLC)

Speaker

Honoraria

Incyte Corporation

Consultant

Honoraria

InflaRx

Data Safety Monitoring Board

Honoraria

Leo Foundation

Advisory Board

Honoraria

Novartis

Advisory Board

Honoraria

Sanofi

Advisory Board

Honoraria

Takeda Pharmaceuticals USA Inc

Advisory Board

Honoraria

UCB

Advisory Board

Honoraria

Zura Bio

Data Safety Monitoring Board

Honoraria

Alex Charrow, MD, FAAD

Avalo

Consultant (1099 relationship)

Fees

Incyte Corporation

Advisory Board

Fees

Incyte Corporation

Investigator

No Compensation Received

Insmed

Investigator

No Compensation Received

Insmed Incorporated

Investigator

No Compensation Received

Novartis Pharmaceuticals Corp.

Advisory Board

Fees

Q32 Bio Inc.

Consultant (1099 relationship)

No Compensation Received

Sonoma Biotherapeutics

Investigator

No Compensation Received

UCB Pharma

Advisory Board

Honoraria

Iltefat Hamzavi, MD, FAAD

AbbVie

Advisory Board

Fees

Almirall

Consultant (1099 relationship)

Fees

Avita

Investigator

Grants/Research Funding

Boehringer Ingelheim

Consultant

Fees

Incyte Corporation

Investigator

Grants/Research Funding

Janssen Biotech

Investigator

Grants/Research Funding

Lenicura

Investigator

Equipment

Merck

Investigator

Grants/Research Funding

Novartis

Consultant

Fees

Pfizer Inc.

Investigator

Fees

Sonoma Biotherapeutics

Investigator

Grants/Research Funding

Takeda Pharmaceuticals USA Inc

Investigator

Grants/Research Funding

Teva Pharmaceutical Industries Ltd.

Investigator

Fees

UCB

Consultant

Fees

Union Therapeutics

Consultant

Fees

Christopher Sayed, MD, FAAD

AbbVie

Speaker

Fees

AbbVie

Advisory Board

Fees

AbbVie

Investigator

Fees

Alumis

Consultant

Fees

AstraZeneca

Consultant (1099 relationship)

Fees

AstraZeneca

Investigator

Grants/Research Funding

ChemoCentryx

Investigator

Grants/Research Funding

Elasmogen

Consultant (1099 relationship)

Fees

Eli Lilly

Stockholder Public Company

Stock

Incyte

Consultant (1099 relationship)

Fees

Incyte Corporation

Investigator

Grants/Research Funding

InflaRx

Consultant

Fees

InflaRx

Investigator

Grants/Research Funding

MoonLake Immunotherapeutics

Consultant (1099 relationship)

Fees

Navigator Medicines

Consultant (1099 relationship)

Fees

Novartis

Investigator

Fees

Novartis

Speaker

Honoraria

Sandoz Pharmaceuticals AG

Consultant (1099 relationship)

Honoraria

Sanofi

Consultant (1099 relationship)

Fees

UCB

Consultant

Fees

UCB

Investigator

Grants/Research Funding

UCB

Advisory Board

Honoraria

Hadar Lev-Tov, MD, FAAD

BSN Medical

Investigator

Grants/Research Funding

BSN Medical

Speaker

Honoraria

HidraMed Solutions

Advisory Board

Fees

Incyte Corporation

Investigator

Grants/Research Funding

Incyte Corporation

Speaker

No Compensation Received

Insmed Incorporated

Consultant (1099 relationship)

Fees

Molynlycke

Consultant

Fees

Molynlycke

Speaker

Honoraria

Novartis

Consultant

Fees

TissueTech

Investigator

No Compensation Received

UCB

Speaker

Honoraria

UCB

Investigator

No Compensation Received

Vomaris Innovations Inc

Consultant (1099 relationship)

Fees

Vomaris Innovations Inc

Investigator

Grants/Research Funding

Vivian Shi, MD, FAAD

AbbVie

Advisory Board

Fees

AbbVie

Speaker

Fees

Alumis

Advisory Board

Honoraria

Aristea Therapeutics

Advisory Board

Fees

Boehringer Ingelheim

Advisory Board

Fees

Dermavant Sciences, Inc.

Advisory Board

Fees

Eli Lilly and Company

Advisory Board

Fees

Genentech, Inc.

Advisory Board

Honoraria

Incyte

Advisory Board

Honoraria

Incyte Corporation

Advisory Board

Honoraria

Leo Pharma

Consultant (1099 relationship)

Fees

Novartis

Advisory Board

Fees

Pfizer Inc.

Advisory Board

Fees

Polyfins, Inc

Consultant (1099 relationship)

Fees

Regeneron

Speaker

Fees

Sanofi Genzyme

Speaker

Fees

Sanofi Genzyme

Advisory Board

Fees

Sun Pharmaceutical Industries Ltd.

Advisory Board

Fees

UCB Pharma

Advisory Board

Honoraria

Lauren Orenstein, MD, MSc, FAAD

Incyte Corporation

Advisory Board

Fees

Novartis

Advisory Board

Fees

Novartis

Investigator

Grants/Research Funding

Pfizer Inc.

Investigator

Grants/Research Funding

UCB Pharma

Advisory Board

Fees

Katrina Lee, MD, FAAD

Incyte

Investigator

Grants/Research Funding

Incyte

Advisory Board

Honoraria

Novartis

Advisory Board

Honoraria

Novartis Pharmaceuticals Corp.

Investigator

Grants/Research Funding

Robert G. Micheletti, MD, FAAD

Boehringer Ingelheim

Investigator

Grants/Research Funding

InflaRx

Investigator

Grants/Research Funding

Insmed

Investigator

Grants/Research Funding

Jennifer Hsiao, MD, FAAD

AbbVie

Speaker

Fees

AbbVie

Consultant

Fees

Aclaris Therapeutics Inc.

Consultant (1099 relationship)

Fees

Amgen

Investigator

Grants/Research Funding

Astra Zeneca

Investigator

Grants/Research Funding

Boehringer Ingelheim

Speaker

Fees

Boehringer Ingelheim

Consultant

Fees

Boehringer Ingelheim

Investigator

Grants/Research Funding

Incyte

Consultant (1099 relationship)

Fees

Incyte

Investigator

Grants/Research Funding

Insmed

Consultant (1099 relationship)

Fees

Leo Pharma

Consultant (1099 relationship)

Fees

MoonLake Immunotherapeutics

Consultant (1099 relationship)

Fees

Navigator Medicines

Consultant (1099 relationship)

Fees

Novartis

Speaker

Fees

Novartis

Consultant

Fees

Oruka Therapeutics

Consultant (1099 relationship)

Fees

Pfizer Inc.

Consultant (1099 relationship)

Fees

Sanofi

Consultant (1099 relationship)

Fees

Sanofi/Regeneron

Speaker

Fees

UCB

Speaker

Fees

UCB

Consultant

Fees

Colleen Cotton, MD, FAAD

Amgen

Investigator

Grants/Research Funding

CorEvitas

Investigator

Grants/Research Funding

MoonLake Immunotherapeutics

Investigator

Grants/Research Funding

Novartis

Advisory Board

Honoraria

Pfizer Inc.

Investigator

Grants/Research Funding

Pfizer Inc.

Consultant (1099 relationship)

No Compensation Received

UCB

Investigator

Grants/Research Funding


All other planners, speakers, reviewers, and staff for this activity reported they have no relevant relationship(s) with commercial interest(s).

Conflict Mitigation Statement
In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, the American Academy of Dermatology has implemented mechanisms, prior to the planning implementation of this activity, to identify and mitigate conflicts of interest for all individuals in a position to control the content.

Commercial Support
This activity is supported by an educational grant from Novartis Pharmaceuticals Corporation.

Unapproved Use Disclosure
The American Academy of Dermatology requires CME faculty/authors to disclose to learners when products or procedures are being discussed are off-label (not approved for the indications being discussed), unlabeled (not approved for any indications), experimental and/or investigational (not FDA approved); and any limitations on the information that is presented, such as data that are preliminary or that represent ongoing research, interim analyses, and/or unsupported opinion. This information is intended solely for continuing medical education and is not intended to promote off-label use of these products/procedures. If you have questions, contact the medical affairs department of the manufacturer for the most recent approval information. Faculty/authors of this activity may be discussing information about pharmaceutical agents that is outside of the U.S. Food and Drug Administration approved labeling.

Disclaimer
The American Academy of Dermatology (AAD) is not responsible for statements made by the author(s). Statement or opinions expressed in this activity reflect the views of the author(s) and do not reflect the official policy of the AAD. The information provided in this CME activity is for continuing education purposes only, is not intended to establish a standard of care, and is not meant to substitute for independent medical judgment of a health provider relative to the diagnostic, management and treatment options of a specific patient’s medical condition. 

No Medical Advice
The information in this publication by the American Academy of Dermatology or any third party should not be considered medical advice and is not intended to replace consultation with a qualified dermatology professional. The American Academy of Dermatology does not answer specific medical questions or refer people to a particular dermatology professional.

Contact Information
For the American Academy of Dermatology Member Resource Center, please call (866) 503-7546.


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