Chronic painful nodules, abscesses, and sinus tracts in intertriginous areas.
Chronic painful nodules, abscesses, and sinus tracts in intertriginous areas.
Common signs and symptoms can vary by wound type and severity.
A clinician evaluates the wound together with the factors that may delay healing.
Patients with recurrent abscesses or sinus tracts in intertriginous areas should be evaluated for hidradenitis suppurativa. Early diagnosis enables disease-modifying therapy and prevents progression to scarring.
Healix360 supports access to advanced mobile wound care services for patients throughout our coverage area. Services are delivered by licensed physicians and nurse practitioners experienced in the evaluation and management of chronic and complex wounds, including hidradenitis suppurativa. Care is coordinated and provided directly to patients in private residences, assisted living communities, and skilled nursing facilities.
Our clinicians coordinate with dermatology for biologic therapy (adalimumab, secukinumab) and surgical referral when appropriate. Local care includes incision and drainage of fluctuant abscesses, antimicrobial dressings, absorbent foam for chronically draining tracts, and meticulous attention to skin folds. For Hurley stage III disease, we partner with surgical teams on staged wide local excision and post-operative wound care, which is often best managed with NPWT.
Hidradenitis is a chronic disease without a single cure. With biologics, lifestyle modification, and meticulous local wound care, most patients achieve substantial reduction in flare frequency and ulcer burden. Surgical excision combined with NPWT can resolve Hurley stage III disease in selected patients.
No. It is a chronic inflammatory disorder of hair follicles and apocrine glands and is not transmissible.
No. Antibiotics are useful for acute flares and bacterial superinfection but do not modify the underlying disease. Long-term control usually requires biologics and lifestyle change.
Yes. Wide local excision wounds frequently heal by secondary intention with NPWT and serial dressing changes, all of which can be delivered in the home.
Tobacco use is one of the strongest modifiable drivers of disease severity in hidradenitis. Cessation reduces flare frequency and improves response to biologics.
Yes, medically necessary mobile wound care visits for hidradenitis suppurativa wounds are typically covered under Medicare Part B and Medi-Cal.
Call 877-545-1300 or request a provider to begin care. Healix360 serves Southern California and Nevada and accepts Medicare Part B and most major insurance plans.