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4.
Clin Exp Dermatol ; 41(8): 852-857, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27753139

ABSTRACT

BACKGROUND: Limited data exist on the use of systemic antibiotic treatment for hidradenitis supportive (HS). AIM: To investigate the effectiveness, safety and relapse rate of HS treated with a combination of daily oral clindamycin and rifampicin. METHODS: This was a prospective, hospital-based study of oral clindamycin 600 mg and rifampicin 600 mg daily for 12 weeks for treatment of HS. Patients were followed up for 1 year to monitor for relapse. RESULTS: In total, 26 patients with HS received oral clindamycin and rifampicin. Most were overweight or obese (73%), and most were smokers (88%). After 12 weeks, clinical response was noted in 19 patients (73%). Response was associated only with female sex (P = 0.02), and not with body mass index, Hurley stage or lesion location. Eight patients (31%) experienced adverse events. At the 1-year follow-up, there was sustained efficacy in 7 (41%) patients, while 10 (59%) had disease relapse after a mean time of 4.2 months. CONCLUSIONS: Oral clindamycin with oral rifampicin for 12 weeks is an effective and tolerable regimen for HS.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Clindamycin/therapeutic use , Hidradenitis Suppurativa/drug therapy , Rifampin/therapeutic use , Adolescent , Adult , Drug Therapy, Combination , Female , Follow-Up Studies , Humans , Male , Middle Aged , Prospective Studies , Young Adult
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