Panelists discuss the anticipated 2026 updates to the American Academy of Dermatology guidelines for hidradenitis suppurativa, highlighting efforts to unify treatment protocols, support biologic access, and accommodate emerging therapies within a rapidly evolving therapeutic landscape.
Looking ahead to the 2026 updates of the American Academy of Dermatology (AAD) guidelines for hidradenitis suppurativa (HS), there is strong anticipation for clearer, evidence-based recommendations that align payers and providers on a unified treatment pathway. These updated guidelines aim to streamline clinical practice by leveraging the latest research and creating standardized care approaches to improve patient outcomes and facilitate appropriate biologic utilization.
The guidelines are a collaborative effort between the HS Foundation and AAD, bringing together experts to review the best available data and translate it into practical recommendations. Such joint guidelines not only help dermatologists but also educate other health care providers, promoting consistent understanding and management of HS across specialties. Importantly, having solid, consensus-backed guidelines can also aid in discussions with insurance payers by demonstrating well-founded treatment protocols, potentially reducing barriers to accessing biologic therapies.
Moreover, the HS treatment landscape is rapidly evolving, with an “explosive” pipeline of 20 to 30 new molecules in various stages of clinical trials. This dynamic development necessitates that the guidelines remain flexible and nimble, allowing for updates as new therapies become available and evidence matures. Clinicians and patients alike can look forward to more treatment options and refinements in care approaches, making ongoing updates essential to keep pace with scientific advances and optimize disease management.