Assess the efficacy of fractional ablative CO2 therapy combined with topical steroids in HS patients with Hurley stage I or stage II disease. Hidradenitis suppurativa (HS) is a chronic, oftentimes debilitating inflammatory skin condition that presents with painful lesions in intertriginous areas of the body. The reported prevalence of HS in the U.S. is around 1-4%. Medical therapies, which typically consist of topical or systemic antibiotics, hormone- regulating drugs, and immunomodulators, are initially used to control the disease but HS can be recalcitrant to these modalities in the long-term. Optimizing management of mild-moderate HS is crucial to prevent disease progression and improve patients' quality of life.
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Endpoint Measure of non-inflammatory nodules
Timeframe: After each treatment session (4-6 weeks)
Endpoint measure of Fibrometer measurements
Timeframe: Before and after each treatment session (4-6 weeks)
Endpoint Measure of Elastimeter
Timeframe: Before and after each treatment session (4-6 weeks)
Endpoint measure of self-reported improvement in HS
Timeframe: After each treatment session (4-6 weeks)
Endpoint measure of inflammatory nodules
Timeframe: After each treatment session (4-6 weeks)
Endpoint measure in SkinColorCatch
Timeframe: Before and after each treatment session (4-6 weeks)
Endpoint measure of sinus tracts
Timeframe: After each treatment session (4-6 weeks)
Endpoint measure of abscesses
Timeframe: After each treatment session (4-6 weeks)
Endpoint measure of pain/itch level
Timeframe: After each treatment session (4-6 weeks)
Endpoint measure in investigator assessed VSS score
Timeframe: Before and after each treatment session (4-6 weeks)
Endpoint Measure in investigator assessed POSAS score
Timeframe: Before and after each treatment session (4-6 weeks)
Endpoint measure of HS-PGA scores
Timeframe: After each treatment session (4-6 weeks)
Endpoint measure in patient assessed POSAS score
Timeframe: Before and after each treatment session (4-6 weeks)
Endpoint measure of changes in patient global assessment questionnaire scores
Timeframe: After each treatment session (4-6 weeks)