Hurley staging

Dermatology

Also known as: Hurley-Stadien (Hidradenitis suppurativa / Acne inversa) · Hurley evrelemesi · Hurley staging of hidradenitis suppurativa

What it is for

Hurley staging grades the anatomical severity of hidradenitis suppurativa (acne inversa) in a region by the presence of tunnels (sinus tracts), scarring and how widespread the disease is.

Classification

CategoryDescription
Stage Ione or more abscesses without sinus tracts (tunnels) and without scarring.
Stage IIrecurrent abscesses with tunnel formation and scarring; single or several lesions widely separated from each other.
Stage IIIdiffuse or almost diffuse involvement, or multiple interconnected tunnels and abscesses across the whole area.
Notea static stage; dynamic severity scores such as the International Hidradenitis Suppurativa Severity Score System (IHS4) are used to follow activity.

Source

Axillary hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa, and familial benign pemphigus: surgical approach

In: Roenigk RK, Roenigk HH Jr (eds). Dermatologic Surgery: Principles and Practice. Marcel Dekker, New York 1989:729–739 (Hurley HJ)

Edition
Hurley 1989 (still the standard static staging)
Checked on

Summary of the published classification in our own words. Not a substitute for the original publication.

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