Medical dermatology
Hidradenitis Suppurativa
Biologics and targeted therapies for painful bumps and tunnels in the armpits, groin, and under the breasts — beyond antibiotics alone.
What HS looks like
Recurrent painful bumps, draining tunnels, and scars in the armpits, groin, buttocks, or under the breasts. It is not caused by poor hygiene — it is an immune-mediated condition.
Treatment ladder
- Topical clindamycin and benzoyl peroxide washes
- Oral antibiotics (doxycycline, clindamycin + rifampin)
- Hormonal and metabolic agents (spironolactone, metformin)
- Biologics for moderate-to-severe disease
- Surgical excision of persistent tunnels when needed
Frequently asked questions
Does insurance cover HS biologics?
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
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