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Many patients with chronic, treatment-resistant hidradenitis suppurativa (HS) explore complementary and alternative medicine (CAM) to supplement conventional therapies. This chapter reviews several non-pharmacologic adjuncts—including zinc, vitamin D, vitamin B12, turmeric, cannabinoids, magnesium, bathing regimens, acupuncture, and dietary modifications—evaluating their benefits and existing evidence. Zinc and vitamin D show the most promise, particularly in deficient individuals. Curcumin and cannabinoids exhibit anti-inflammatory and antimicrobial properties, with some anecdotal support. Magnesium may help with pain, but risks such as hypermagnesemia warrant caution. Bathing regimens and balneotherapy provide symptomatic relief, while acupuncture and acupressure may alleviate pain and inflammation. Despite increased interest in dietary modifications, strong data supporting specific diets remain lacking. Overall, while CAM therapies may benefit some HS patients, further randomized controlled trials are needed to determine efficacy and establish standardized recommendations.

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Treatment of HS with Complementary and Alternative Medicine

  • 章节

  • 发表日期：

    2026年

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  • Theresa Tran

摘要

Many patients with chronic, treatment-resistant hidradenitis suppurativa (HS) explore complementary and alternative medicine (CAM) to supplement conventional therapies. This chapter reviews several non-pharmacologic adjuncts—including zinc, vitamin D, vitamin B12, turmeric, cannabinoids, magnesium, bathing regimens, acupuncture, and dietary modifications—evaluating their benefits and existing evidence. Zinc and vitamin D show the most promise, particularly in deficient individuals. Curcumin and cannabinoids exhibit anti-inflammatory and antimicrobial properties, with some anecdotal support. Magnesium may help with pain, but risks such as hypermagnesemia warrant caution. Bathing regimens and balneotherapy provide symptomatic relief, while acupuncture and acupressure may alleviate pain and inflammation. Despite increased interest in dietary modifications, strong data supporting specific diets remain lacking. Overall, while CAM therapies may benefit some HS patients, further randomized controlled trials are needed to determine efficacy and establish standardized recommendations.