Hidradenitis suppurativa care at Mayo Clinic

Your Mayo Clinic care team individualizes your hidradenitis suppurativa care to ensure an accurate diagnosis, an effective treatment plan and compassionate care.

Your Mayo Clinic care team

Mayo Clinic dermatologists are experts in diagnosing and treating people with hidradenitis suppurativa, even those with the most severe disease. You may benefit from an appointment with the Hidradenitis Suppurativa Clinic at Mayo's campuses in Arizona and Minnesota.

Some people might need the comprehensive care provided by a multispecialty health care team. If you need other specialists, such as a plastic and reconstructive surgeon and a pain medicine specialist, your Mayo Clinic care team works together to provide individualized, coordinated, seamless care.

A full range of treatment options

Hidradenitis suppurativa is unique for each person who has it. Its effects range from mild to so severe that it's difficult to go about your daily activities. Your doctor will work with you to determine the correct diagnosis, which is essential for effective treatment. At Mayo Clinic, we enhance outcomes by providing medical care before surgery, with continued medical care post-surgery. This helps prevent flares and control hidradenitis suppurativa in areas other than the surgical.

Our hidradenitis suppurativa team offers all treatment options for this disease, which include lifestyle modifications, medications, surgery or a combination of approaches.

Excess weight and smoking have been associated with worsening the symptoms of hidradenitis suppurativa. If weight loss or smoking cessation is part of your treatment plan, you may have appointments with a dietitian or with specialists in the Nicotine Dependence Center, which offers an intensive treatment program to help people quit smoking.

Mayo Clinic's whole-body approach to hidradenitis suppurativa helps you to face the physical and emotional challenges of this long-term condition that often resists treatment.

Mayo Clinic Hidradenitis Suppurativa Specialty Clinic

Why choose Mayo Clinic for hidradenitis suppurativa?

Dr. Afsaneh Alavi, Associate Professor of Dermatology, Mayo Clinic, Rochester, MN: Hidradenitis suppurativa, or HS, is an inflammatory disease presenting with acne-like lesions. Lesions are either deep nodules or tunnels in certain areas of the body like under arm, groin, genital area, under breast. It is very frequently misdiagnosed or under-diagnosed.

Dr. Christian Baum, Professor of Dermatology, MOHS surgeon, Mayo Clinic, Rochester, MN: We take HS very seriously. We approach it comprehensively and, to the degree possible, we manage and come up with a plan for every aspect of their condition.

Dr. Alavi: At Mayo Clinic, the needs of the patient come first.

Dr. Laura Raffals, Professor of Medicine, Gastroenterology, Mayo Clinic, Rochester, MN: That shared mission, that shared purpose that we have here at Mayo Clinic is what really drives us to form these teams such as the HS multi-disciplinary team to take care of our patients' needs — not just the needs of providing the right diagnosis and the right treatment, but holistically ensuring that we're meeting all the needs of our patients.

Dr. Baum: Many of our patients who come to our clinic for HS have a number of additional appointments set up for them because of the complexity of their disease. Obviously, we have at least two appointments in dermatology.

Dr. Raffals:There are GI colleagues who often are involved, and certainly our experts in radiology, pathology, and this entire team is incredible in terms of making the diagnosis. But then we also lean on our surgery colleagues who often help us with the management of HS.

Dr. Baum: We make sure that they have the support that they need from a mental health and well-being perspective from our colleagues in psychiatry as well.

Dr. Alavi: It's very important to provide multidisciplinary care. It takes a village to treat HS.

Dr. Raffals: I think it can be challenging for patients with a condition such as HS where they know that they're always at risk for having an eruption of this condition in the future or a flare of their disease. So that uncertainty can really weigh on someone. But I do want to offer hope to our patients who have HS because we do have excellent treatments at our hands that we can use to treat patients. And not only that, but we continue to run clinical trials allowing us to find new treatments that we can also lean on to treat our patients.

Dr. Alavi: We are here to help patients with hidradenitis suppurativa by offering an interdisciplinary care and attacking this disease from multiple aspects with multiple modalities, a combination of surgical and medical therapy, and looking at this disease as a systemic disease by referring this patient to the disciplines that they need. It makes the result of the treatment much better.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

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Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

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June 14, 2022