🔥 Hidradenitis Suppurativa (HS)
Hidradenitis Suppurativa is a chronic skin condition characterized by painful, inflamed lumps, abscesses, and tunnels (sinus tracts) primarily in areas with sweat glands like the armpits, groin, buttocks, and under the breasts.
🔍 Causes
- Exact cause unknown, but involves:
- Inflammation of hair follicles
- Blockage of sweat glands
- Genetic predisposition
- Hormonal influences
- Smoking and obesity are risk factors
⚠️ Symptoms
- Painful, deep-seated nodules and lumps
- Recurrent abscesses that may rupture and drain pus
- Scarring and formation of tunnels under the skin
- Foul-smelling discharge
- Itching and discomfort in affected areas
🧪 Diagnosis
- Based on clinical examination and history
- Often misdiagnosed initially
- Imaging in severe cases to assess extent
🛠️ Treatment
- Lifestyle changes: Weight loss, smoking cessation
- Hygiene: Gentle cleansing and loose clothing
- Medications:
- Antibiotics (topical and systemic)
- Anti-inflammatory drugs
- Hormonal therapy
- Biologic agents (e.g., TNF inhibitors) in severe cases
- Surgery: To remove sinus tracts or severely affected tissue
🛡️ Tips
- Early treatment to prevent progression
- Avoid tight clothing and irritants
- Regular follow-up with dermatologist