LAUSR

Dear Editor, Hidradenitis suppurativa (HS) is a chronic, inflammatory, autoimmune, and persistent skin disease. It is representing in adolescence with painful, secreting, odorous lesions in apocrine gland-bearing areas, causing significantly decreased quality of life, depression, and low functioning. Ichthammol 10% ointment is a mixture of soft yellow paraffin with ichthammol 10%. It is prepared by distilling bituminous shale with ammonium sulfate. and has a strong smell reminiscent of fuel, and it colors the skin, and fabrics with greasy black stains that are difficult to remove. HS patients frequently suffer from abscesses despite systemic treatment. Prodromal symptoms to HS lesion development include fatigue, malaise, headache, and nausea. Local symptoms include erythema, paresthesia, itching and usually occurs 12 to 24 hours before the outburst. Topical treatments mentioned in European guideline for the treatment of HS/acne inversa are resorcinol and clindamycin. Adapalene or azelaic acid are mentioned as experimental.