Tuesday, May 25, 2010

Any new ideas for boils (hydradenitis Superlativa)?

Has any body come across any new ways to deal with boils..besides the heat compresses and the staying away from heat?
Answer:
Although there are current clinical trials going on and a few that were completed in August 2006 regarding the use of radiotherapy, photodynamic therapy, and enteracept, I think the usual standard treatments of oral antibiotics, anti-inflammatory medications, washing with hibiclens (available at Walgreens and other drug stores) and other antibacterial soaps, surgery, topical antibiotics, smoking cessation and weightloss are still currently the main treatments available. Obviously, powdering all areas of friction, wearing loose clothing, warm sitz, saltwater, or oatmeal baths, compresses, bagbalm application with a gauze pad, etc. are still in practice. If you look at the enteracept trials (drug used in the treatment of psoriasis), you may feel encouraged. We use topical clindamycin to reduce the inflammation and duration of lesions, but unfortunately, at this time, I don't see any real successful treatments other than etanercept (Enbrel). Currently, lesions are either injected with kenalog, removed with a CO2 laser, or treated orally. Have hope though, with the new clinical trials, I think relief is in sight.

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