Long-term results of isotretinoin in the treatment of 68 patients with hidradenitis suppurativa.

Boer, J; van Gemert, M J · J Am Acad Dermatol · 1999

retrospective_cohort · Level III

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Abstract

Oral isotretinoin has been used to treat mild to severe hidradenitis suppurativa (HS). We reviewed the results of low-dose isotretinoin for 4 to 6 months in the treatment of 68 patients with HS. This is a retrospective study. Data are presented in terms of response rate, long-term follow-up, and the relation between response rate and severity. In 16 patients (23.5%), the condition completely cleared during initial therapy and 11 patients (16.2%) maintained their improvement during the follow-up period. Treatment was more successful in the milder forms of HS. Monotherapy with isotretinoin for patients with HS usually has a limited therapeutic effect.

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