TABLE 4.

Suggested Treatment for Hidradenitis Suppurativa According to the Hurley Stage of Disease

Stage	Characteristics	Suggested Treatment
I	Solitary or multiple isolated abscess formation without scarring or sinus tracts	Lifestyle modifications* Topical antibiotics Laser treatment Zinc gluconate (adjunctive therapy)
II	Recurrent abscesses, single or multiple widely separated lesions, with sinus tract formation	Oral antibiotics Laser treatment Immunomodulator/biologic therapy Radical excision†
III	Diffuse or broad involvement across a regional area with multiple interconnected sinus tracts and abscesses	Radical excision† Immunomodulator/biologic therapy Referral to reconstructive surgeon for wound management and/or closure after regional resection

^*Lifestyle modifications (ie, weight loss, smoking cessation, meticulous hygiene practices, glycemic control) are essential in all stages of treatment.

^†Radical excision of all hair-bearing skin within an affected region is the mainstay of treatment for patients with advanced or refractory disease.