Age |
26 |
24 |
Gender |
M |
F |
Employment status |
On disability |
On disability |
Hurley stage |
III |
III |
Anatomic region |
Bilateral axillae, abdomen, bilateral inguinal folds |
Inframammary, abdominal pannus, bilateral inguinal folds, perineum, buttocks, intergluteal cleft, posterior thighs |
Appearance |
>10 draining abscesses and ulcerations |
10-20 ulcerations |
Comorbidities |
Anemia of chronic disease, depression, Obesity, paradoxical psoriasis |
Anemia of chronic disease, diabetes mellitus type II, endometriosis, gastroesophageal reflux disorder, hypothyroidism, migraines, morbid obesity, osteoporosis, Polycystic ovarian syndrome, pyoderma gangrenosum |
HS maintenance regimen |
Tofactinib 5 mg 2x daily; amoxicillin 500 mg 2x daily; cyclosporine 300 mg (∼5 mg/kg) daily |
Tofacitinib 5 mg 2× daily; 4 week antibiotic cycle of amoxicillin + amoxicllin-clavulanate ×3 weeks and azithromycin ×1 week; 1250 mg MMF 2× daily; triamcinolone ointment |
Prior therapies |
Adalimumab, infliximab, methotrexate, oral amoxicillin, oral amoxicillin-clavulanate, oral doxycycline, oral minocycline, acitretin |
Adalimumab, etanercept, infliximab, ustekinumab, anakinra, azathioprine, cyclosporine, methotrexate, oral steroids, tacrolimus, oral contraceptive pills |