What is Hidradenitis Suppurativa?

Hidradenitis Suppurativa is a rare chronic inflammatory skin condition described by engorged, painful, inflamed lesions which can be the same in size with a pimple or as large as golf balls in the armpit, groin and other areas where apocrine glands are concentrated. The disease is an infection of the cutaneous apocrine glands which may extend to adjacent subcutaneous tissues and fascia.

There isn’t much in-depth study made about Hidradenitis Suppurativa. It is an orphan illness as it is considered to be very rare that no pharmaceutical companies would dare to engage in a challenge to obtain a reasonable cure. What we know is that it believed to arise when the apocrine gland channels become obstructed by excessive perspiration. The secretions are confined in the glands forcing sweat and bacteria into the surrounding tissues leading to subcutaneous inflammation and bacterial infection.

The patient with this non-contagious condition displays groups of unremitting abscesses, sebaceous cyst and multiple localized infections that are considerably painful which culminates in incision and pus drainage often leaving an open wound that will not heal. As suppuration advances, immediate cellulitis may exist. When the multiple nodules have come together, they become bordered by fibrotic reactions which result in an unsightly appearance of a scarred area.

Usually, the initial treatments include oral and topical antibiotics in addition to anti-inflammatory pills, systemic steroids, retinoids, birth control pills and the use of intra-lesional injections to reduce swelling. Strictly avoid wearing fitting clothing and shaving the affected area. The areas should be washed daily using an antibacterial soap. If severe, aggressive surgery, radiotherapy and incision and draining are recommended.



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Hidradenitis Suppurativa Pictures

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