[Severe hidradenitis suppurativa treated with acellular fish skin - A case report and discussion of the disorder].

Hidradenitis suppurativa is a chronic, debilitating disease due to recurrent infections, pain and foul smelling drainage. Presently, severe cases are treated with biologics. When surgery is needed it is usually extensive, requiring skin transplantation or flaps for closure. This case report presents a patient with severe disease on both buttocks, already treated with biologics. It was decided to attempt treatment with debridement and acellular fish skin to avoid extensive surgery. The treatment was successful, the patient is symptom-free on the right side 21 months after surgery and has minimal symptoms on the left side 7 months after surgery. He is contentwith the results.