American family physician
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Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. ⋯ Adalimumab, a tumor necrosis factor alpha inhibitor, is effective for patients with moderate to severe hidradenitis suppurativa. Surgical procedures are often necessary for definitive treatment and include local procedures, such as punch debridement and unroofing/deroofing. Wide excision is indicated for patients with severe, extensive disease and scarring.
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According to the U. S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. ⋯ Family physicians can use available resources and clinical practice guidelines such as those from the U. S. Department of Veterans Affairs and Department of Defense to inform care and to assist veterans.