Quick Reference
PCDS Primary Care Treatment Pathway
Hurley staging - the PCDS resource above has information about staging - see pictures on page 1 i.e Mild / Mod / Severe. If you want to read more about staging of disease this Dermnetnz.org page is useful.
When to refer? Direct link to section of PCDS Clinical Guidance
Important Considerations
- Pregnancy - see above PCDS guidance, topical clindamycin can be used, limited oral options. Most should be referred.
- Risk of SCC - highlighted by the podcast below - I wasn’t aware until I listened to podcast - PCDS resource above states “Increased risk of squamous cell carcinoma, especially in men, over 50, with buttock disease”
Education resources
Episode 141 of the GP Notebook Podcast is an information dense 14 minute recap of HS. The podcast show notes are a useful overview if you prefer reading.