Audur Gunnarsdottir¹

Elsa Bjork Valsdottir^2,3

¹Landspitali University Hospital, Department of Dermatology and Venereology, ²Landspitali University Hospital, Department of General Surgery, ³Faculty of Medicine, University of Iceland

Correspondence: Audur Gunnarsdottir, audurgun@landspitali.is

doi 10.17992/lbl.2025.11.864

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.