skip to main content

Hidradenitis Suppurativa — SCE Dermatology MCQ

Instant feedback + full explanation. One question, done properly.

HardInflammatory DermatosesHidradenitis SuppurativaSCE Dermatology

A patient with hidradenitis suppurativa has good inflammatory control on biologic treatment but persistent symptomatic epithelialised tunnels in the axilla. What is the most appropriate next intervention?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Targeted deroofing or excision of the residual tunnels

Medical treatment can suppress active inflammation but established epithelialised tunnels often persist. Deroofing or appropriately planned excision treats residual structural disease while systemic therapy continues to control new inflammatory lesions.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines