Hidradenitis Suppurativa
Hidradenitis Suppurativa (HS) is a chronic, inflammatory skin condition characterized by painful, recurrent lumps or abscesses, primarily in areas where skin rubs together (e.g., underarms, groin, buttocks, and under breasts). It can significantly impact quality of life if left untreated.
Symptoms
- Painful, red bumps or abscesses.
- Drainage of foul-smelling fluid from lesions.
- Formation of tunnels (sinus tracts) under the skin.
- Scarring and thickened skin in affected areas.
- Recurrence in the same locations.
Causes
- Exact cause unknown but linked to:
- Blockage of hair follicles.
- Inflammation of sweat glands (apocrine glands).
- Hormonal changes (e.g., puberty, menstrual cycle).
- Immune system dysregulation.
- Risk factors include:
- Family history.
- Smoking.
- Obesity.
- Hormonal influences (worse during menstruation).
Treatment Options
HS management focuses on reducing symptoms, preventing flare-ups, and improving quality of life.
1. Lifestyle Changes
- Weight Management: Reducing weight can decrease friction and inflammation.
- Quit Smoking: Smoking is a major trigger for HS.
- Clothing: Wear loose-fitting, breathable fabrics to reduce irritation.
- Hygiene: Use gentle, antibacterial cleansers on affected areas.
2. Medical Treatments
- Topical Treatments:
- Clindamycin: Topical antibiotic for mild HS.
- Resorcinol Cream: Helps reduce inflammation and promote healing.
- Oral Medications:
- Antibiotics: Long-term antibiotics like doxycycline or minocycline can reduce bacterial load and inflammation.
- Hormonal Therapy: Birth control pills or anti-androgen medications like spironolactone may help women with hormonally driven HS.
- Retinoids: Oral retinoids like isotretinoin in select cases.
- Prevention of Flare-Ups
- Maintain a healthy weight.
- Manage stress, as stress can exacerbate HS.
- Avoid tight clothing and harsh personal care products.
- Monitor dietary triggers (e.g., dairy, sugar, or high-glycemic foods) in some cases.
If you have the symptoms of HS, please contact our office to make an appointment to assess the skin condition and develop a treatment plan.
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