After diagnosing hidradenitis suppurativa (HS), a dermatologist or other doctor may classify each case of HS using the Hurley staging system. This is a severity staging system for HS symptoms with three distinct stages. The Hurley staging system was developed by a dermatologist in 1989.
Some people with mild hidradenitis suppurativa never progress to more advanced stages. However, some people’s HS symptoms can become increasingly severe if not treated. Early diagnosis and treatment can help prevent HS from becoming worse over time.
Some doctors also use a more detailed staging system called the Sartorius score to assess treatment outcomes. A Sartorius score considers which parts of the body are affected, the number and type of lesions, the distance between lesions, and the condition of the skin separating lesions. The Sartorius score is used more frequently in research settings than clinical practice.
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