Hidradenitis Suppurativa

Long-term skin condition causing small, painful lumps under the skin

Overview

Hidradenitis Suppurativa is a chronic inflammatory skin condition that affects the hair follicles and sweat glands in areas of the body with apocrine glands, such as the armpits, groin, and buttocks. It is characterized by the development of painful, recurrent nodules, abscesses, and sinus tracts.

Symptoms

The symptoms of Hidradenitis Suppurativa may include:

  • Painful Lesions: Development of painful, pea-sized nodules or larger abscesses that may rupture and drain pus.
  • Recurrent Outbreaks: The condition is characterized by recurrent outbreaks of lesions in the affected areas.
  • Tunneling Tracts: Formation of tunnels or sinus tracts under the skin, connecting different areas of involvement.
  • Scar Formation: Healing of lesions often leads to scar formation and can result in the development of thickened, keloid-like scars.

Causes

The exact cause of Hidradenitis Suppurativa is unknown, but it is believed to involve a combination of genetic, hormonal, and environmental factors. Factors that may contribute to the development of Hidradenitis Suppurativa include:

  • Blockage of Hair Follicles: The condition is thought to start with the blockage of hair follicles and subsequent inflammation.
  • Hormonal Influence: Hormonal changes or imbalances may play a role in the development and exacerbation of Hidradenitis Suppurativa.
  • Genetic Predisposition: There is evidence to suggest that certain genetic factors may increase the risk of developing Hidradenitis Suppurativa.

Treatment

While there is no cure for Hidradenitis Suppurativa, treatment aims to manage symptoms, reduce inflammation, prevent complications, and improve quality of life. Treatment options may include:

  • Topical Treatments: Application of topical medications, such as antibiotics or anti-inflammatory creams, to reduce inflammation and control bacterial growth.
  • Systemic Medications: Prescription medications, such as oral antibiotics, hormonal therapies, or immunosuppressive drugs, may be used to manage more severe cases.
  • Surgical Interventions: Surgical procedures may be considered for severe or recurrent cases that do not respond to other treatments. These procedures aim to remove affected tissue, drain abscesses, or create new openings for improved drainage.

Self-Care

In addition to medical treatments, self-care measures can help manage Hidradenitis Suppurativa and reduce the risk of flare-ups. Self-care strategies may include:

  • Good Hygiene: Maintaining good personal hygiene by gently cleansing the affected areas and keeping them dry.
  • Warm Compresses: Applying warm compresses to the affected areas can help alleviate pain, promote healing, and encourage drainage of abscesses.
  • Avoiding Triggers: Identifying and avoiding triggers that may worsen symptoms, such as tight clothing, excessive heat, or friction, can help prevent flare-ups.

It’s important to work closely with a healthcare professional to develop an individualized treatment plan for Hidradenitis Suppurativa. They can provide guidance, monitor your condition, and make adjustments to