Hidradenitis Suppurativa also called Acne inversa is an autoinflammatory condition of hair follicles where there is formation of small, painful lumps under the skin. The lumps usually develop in the areas of friction like armpits, breasts, groins and buttocks. Formation of pus within the lumps causes abscesses. Abscesses may drain pus. Scarring may occur overtime. Sinus tracts may join these abscesses.
Hidradenitis Suppurativa usually appears after pubertyÂ
Incidence is more common in women than men.
Black people are more affected.
Risk factors-
Family history of Hidradenitis suppurativa.
SmokingÂ
Obesity
Fluctuations of estrogen and progesterone hormone
Complications-
CellulitisÂ
Scars
SepsisÂ
Fistula ( abnormal tract between skin and bowel or bladder) formation.
Treatment
Use of antiperspirants to control excessive sweating.
Daily washing with antiseptic lotions.
Vitamin A can reduce inflammation.
Antibiotic therapy to treat infection when there is pus formation.
Birth control pills may be used to regulate oestrogen and progesterone hormone.
Botox therapy to control sweating.
Drainage when there is pus formation.
Surgery to remove sweat glands or sinus tracts.
Laser therapy.
Steroid injection to reduce inflammation.
Prevention-
Reduce body weightÂ
Use antiperspirantsÂ
Quit smokingÂ
Use loose fitting cotton clothes.
