Dates | Relevant past medical history and interventions | |
---|---|---|
Diagnostic testing | Intervention | |
March 2017 | Adalimumab was considered, but latent tuberculosis was detected | Full anti-tuberculosis regimen |
December 2018 | Purified protein derivative test was negative | Adalimumab was initiated |
January 2020 | - | Adalimumab was discontinued due to reoccurring spikes of fever |
August 2020 (At the time of patient presentation) | Renal function test showed elevated serum creatinine and urine protein. Renal biopsy showed stage V chronic kidney disease secondary to advanced renal amyloidosis | Prednisolone, and reintroduction of adalimumab was considered to treat both his HS and renal amyloidosis. The patient was also referred to general surgery to manage his genital lymphedema. |
HS: hidradenitis suppurativa