Armpit Abscess Treatment
Treatment for hidradenitis suppurativa usually includes skin cleansing, antibiotics, oral contraceptives for women, hormone therapy, isotretinoin, and oral corticosteroids. Severe cases of hydradenitis suppurativa may require surgery.
Treatment options for hidradenitis suppurativa include:
- Skin cleansing twice a day
- Application of warm compresses with sodium chloride solution or Burow solution
- Wearing of loose-fitting clothing
- Antibiotics for hidradenitis suppurativa:
- Erythromycin (E.E.S., E-Mycin, Eryc)
- Tetracycline (Panmycin, Sumycin, Tetracap)
- Doxycycline (Doryx, Vibramycin, Bio-Tab)
- Clindamycin (Cleocin)
- Oral corticosteroids
- Injectable corticosteroids:
- Intralesional triamcinolone
- Contraceptive medications for women
- Hormone therapy:
- Cyproterone acetate (Androcur)
- Isotretinoin (Accutane)
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Narcotic pain medication:
- Weight reduction for those who are obese
- Nonablative radiofrequency therapy
- Surgery for hydradenitis suppurativa
- Surgical excision of the lesion
- Incision and drainage of lesions that contain pus
Incision and drainage includes:
- The skin is sterilized using rubbing alcohol or an antibacterial soap.
- A local anesthetic is injected into the tissues surrounding the carbuncle.
- An incision is made with a scalpel.
- Pus is drained from the abscess.
- The abscess cavity is flushed clean.
- In some cases, a rubber drain or a strip of sterile gauze is packed inside the abscess cavity.
- The gauze or drain placed inside the abscess cavity is usually removed 24-36 hours later.
Armpit Abscess Specialist
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- Jemec GB. Medical treatment of hidradenitis suppurativa. Expert Opin Pharmacother. 2004 Aug;5(8):1767-70. 
- Mitchell KM, Beck DE. Hidradenitis suppurativa. Surg Clin North Am. 2002 Dec;82(6):1187-97. 
- Wiseman MC. Hidradenitis suppurativa: a review. Dermatol Ther. 2004;17(1):50-4.