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Hidradenitis Suppurativa Treatment in Wasilla & Anchorage, AK

Compassionate, modern care for HS, including biologic therapy options.

About Hidradenitis Suppurativa

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that causes painful nodules, abscesses, and tunnels (sinus tracts) in areas where skin rubs together, most often the underarms, groin, buttocks, and under the breasts. HS often begins after puberty and can range from a few recurring bumps to widespread, scarring disease.

HS is frequently misdiagnosed as ordinary boils or "cysts that keep coming back." Early dermatologic evaluation matters, because effective treatment is available and earlier intervention can reduce scarring and complications.

Symptoms & signs to watch for

Common signs that may suggest hidradenitis suppurativa include:

  • Painful, deep nodules in underarms, groin, buttocks, or under the breasts
  • Abscesses that drain pus, sometimes with a foul odor
  • Recurring "boils" in the same areas over months or years
  • Sinus tracts (tunnels) and rope-like scarring
  • Flares that worsen with friction, sweating, or hormonal changes
  • Significant pain, drainage, or quality-of-life impact

Treatment approach

HS treatment is staged to disease severity. Early, mild HS often responds to topical and oral therapies, while moderate-to-severe disease commonly benefits from biologic medications and, in some cases, surgical procedures.

Treatment options your provider may discuss:

  • Topical and oral antibiotics for flare control
  • Hormonal therapies when clinically appropriate
  • Biologic medications (e.g., adalimumab, secukinumab) for moderate-to-severe disease
  • Intralesional corticosteroid injections for individual painful nodules
  • Incision and drainage, deroofing, or surgical excision for selected lesions
  • Wound care, lifestyle support, and care coordination for related conditions

Not every option is appropriate for every patient. Your dermatology provider will recommend a treatment plan based on your individual evaluation.

When to see a dermatologist

Schedule an evaluation as early as possible if you have recurring painful bumps or "boils" in the underarms, groin, or other skin folds. Early treatment can reduce scarring and slow disease progression.

Available at our Alaska clinics

Care for hidradenitis suppurativa is offered through Advanced Dermatology of Alaska. Specific procedure availability may vary by clinic. Please call to confirm before scheduling.

Medical disclaimer

This page is for general information only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency department.