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Hidradenitis Suppurativa: Basic Disease Information - iMedix

Hidradenitis Suppurativa

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Hidradenitis Suppurativa

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Hidradenitis Suppurativa (HS) | Pathophysiology, Triggers, Signs & Symptoms, Diagnosis, Treatment

What is Hidradenitis Suppurativa (HS)?

Hidradenitis Suppurativa is a chronic skin condition characterized by small, painful lumps under the skin, typically in areas where skin rubs together such as the armpits, groin, buttocks, and breasts. These lumps can break open and cause tunnels under the skin and scarring.

What causes Hidradenitis Suppurativa?

The exact cause of HS is unknown. It’s believed to be related to inflammation of hair follicles and blockage of sweat glands. Factors like hormones, genetics, and cigarette smoking may also play a role. It’s not caused by poor hygiene or an infection.

How is Hidradenitis Suppurativa diagnosed?

HS is diagnosed based on medical history, symptoms, and a physical examination of the affected skin. There are no specific tests for HS, but tests may be done to rule out other skin conditions or infections.

What are the treatment options for Hidradenitis Suppurativa?

Treatment focuses on managing symptoms and preventing flare-ups. It may include antibiotics, corticosteroids, hormonal therapy, biologics, and in severe cases, surgery. Lifestyle changes like weight loss, smoking cessation, and wearing loose clothing can also help.

Can diet affect Hidradenitis Suppurativa?

Diet can play a role in HS. Foods that cause inflammation such as dairy products and high-glycemic foods might worsen symptoms. A balanced diet rich in anti-inflammatory foods may help manage flare-ups.

Is Hidradenitis Suppurativa contagious?

No, HS is not contagious. It cannot be spread by touch or close contact. It’s a chronic inflammatory skin condition related to the immune system and is not caused by an infectious agent.

Are there any lifestyle changes that can help with Hidradenitis Suppurativa?

Lifestyle changes that may help manage HS include maintaining a healthy weight, quitting smoking, wearing loose-fitting clothes, and good skin hygiene. Stress management techniques can also be beneficial in reducing flare-ups.

The primary symptoms of hidradenitis suppurativa include tender red bumps, pus-filled pockets, tunnel-like tracts, scarring, and sometimes pain, itching, and a foul odor. The exact cause of the disease is unknown, but factors like genetics, hormonal changes, and immune system dysfunction are believed to play a role.

Hidradenitis suppurativa is a chronic condition with no known cure. Treatment options focus on managing symptoms, reducing inflammation, preventing complications, and improving quality of life. The treatment plan may include medications, antibiotics, anti-inflammatory drugs, corticosteroids, and surgical interventions like drainage of abscesses or removal of affected skin.

Living with hidradenitis suppurativa can be challenging, both physically and mentally. Seeking support from healthcare professionals, joining support groups, and adopting self-care practices like maintaining good hygiene, avoiding potential triggers, and using proper wound care techniques can help individuals manage the symptoms and cope with the disease.

Diagnosis methods:

1. Physical Examination:
A healthcare professional will begin by visually inspecting the affected areas. They will examine the skin for the presence of abscesses, nodules, or scars. The doctor may use a magnifying lens or dermatoscope to get a closer look at the lesions. They may also inquire about the duration, severity, and recurrence pattern of the symptoms.

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2. Medical History:
The doctor will ask about the patient’s medical history and any previous diagnoses or treatments. They will also inquire about family members who may have had similar symptoms. Gathering information about other possible contributing factors such as hormonal imbalances, smoking, obesity, or other related conditions can help in the diagnosis.

3. Hurley Staging System:
The Hurley staging system is commonly used to assess the severity of Hidradenitis Suppurativa. The stages help categorize the disease as follows:
– Stage I: Single or multiple abscesses without sinus tracts or scarring.
– Stage II: Recurrent abscesses with sinus tracts and scarring.
– Stage III: Diffuse or interconnected abscesses with multiple sinus tracts, extensive scarring, and multiple scars in at least two different areas.

4. Imaging Tests:
In some cases, imaging tests such as ultrasound or magnetic resonance imaging (MRI) may be ordered to get a clearer picture of the affected areas. These tests can help identify tunnels, abscesses, or inflammation deep within the tissue.

5. Biopsy:
If the diagnosis is uncertain or there is an atypical presentation, a biopsy may be performed. A small sample of the affected skin will be taken and examined under a microscope to confirm the presence of hidradenitis suppurativa and rule out other conditions with similar symptoms.

Please note that this description is for demonstration purposes only. It is important to consult a qualified healthcare professional for an accurate diagnosis and personalized treatment plan.

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