What is Hidradenitis Suppurativa?

What is Hidradenitis Suppurativa
What is Hidradenitis Suppurativa

What is Hidradenitis Suppurativa?

What is Hidradenitis Suppurativa? Hidradenitis suppurativa or acne inversa is a long-term skin disease that causes a lump under the skin near the sweat glands, for example underarms and between the buttocks. This condition can also appear in the part where the skin rubbing, for example between the thighs, groin, or under the breasts in women. Lumps that appear can be infected, then filled with pus and smell if the bag is broken. This pus lump is called an abscess and if it breaks and dries it will leave scar tissue.

The lumps caused by hidradenitis suppurativa are generally painful. Although not the case in all cases, usually under the skin channel connecting the lumps hidradenitis suppurativa will be formed. These narrow channels are called sinus ducts.Usually, hidradenitis suppurativa appears at puberty and persists for several years. Some of the factors that affect a person’s risk of developing suppressive hydradenitis are:

  • Heredity. Hidradenitis suppurativa can appear in a person due to genetic factors.
  • Woman. Compared to men, hidradenitis suppurativa is more common in women.
  • Age factor. Usually hidradenitis suppurativa attacks a person who is still a teenager or 20 years old.Rarely at the age before puberty or after menopause.
  • Obesity or smokers. Most people with suppurative hydradenitis are obese or a smoker.
  • Hirsutism. A person who has a body condition that has excessive hair growth with or without acne, has a greater risk of getting hydradenitis suppurativa.

Symptoms of Hidradenitis Suppurativa

Symptoms are something that is felt and told by the patient. Sometimes the first symptom felt by a sufferer of hidradenitis suppurativa is a painful inflamed lump. Such lumps can last several days for months.

The hydradenitis suppurativa lump may be more than one but still within the same area, for example some lumps in the armpit area. And can appear in some areas. If the lump is located in the deep skin layer, when healed acne inversa can leave scars. In addition to lumps, other suppradiva hydradenitis symptoms are blackheads that congregate and form a paired pattern.

Immediately consult a doctor if there is a painful lump that does not improve for several weeks, often recur, very painful and appear in some places.

Causes of Hidradenitis Suppurativa

Until now not known the exact cause of hidradenitis suppurativa. This non-infectious skin disease will occur when the sweat glands and clogged patient’s hair follicles are blocked.

According to the British Association of Dermatologists, the emergence of hidradenitis suppurativa has something to do with Crohn’s disease. Many people with hidradenitis suppurativa also have autoimmune diseases.

Diagnosis of Hidradenitis Suppurativa

Diagnosis is a doctor’s step to identify a disease or condition that explains the symptoms and signs experienced by the patient. To diagnose hidradenitis suppurativa, your doctor will do the following:

  • Physical examination. The doctor will examine the skin of the infected person, diagnose by location of lumps or wound pits, and frequency of recurrence of the infection.
  • Sampling. If there is pus inside the lump, then the doctor will take a sample of pus to be analyzed in the laboratory.

After the diagnosis is complete, the doctor will classify the hidradenitis suppurativa suffered by the patient based on the severity of which is:

  • Stage 1: There are only one or more isolated abscesses without scarring or sinus tract.
  • Stage 2: Recurrent abscesses occur in more than one area of the skin and sinus tract begin to form.
  • Stage 3: Abscesses appear in many areas of the skin. There is a sinus channel under the interconnected skin between abscesses. Patients may have severe scar tissue that is always wet.

Treatment of Hidradenitis Suppurativa

The type of treatment the patient is living depends on how severe the hydradenitis suppurativa is. If suppradiva hydradenitis is still at a mild stage, then the patient can self-compress the lump with warm water.

Provision of drugs

There are several types of drugs commonly used to overcome hidradenitis suppurativa namely:

  • Non steroidal anti-inflammatory drugs. These types of drugs can reduce pain and swelling.
  • Antibiotics. Type drugs will fight infection and can prevent the disease becomes more severe and relapse again.
  • Corticosteroids. The doctor will inject steroid drugs into the lump, to reduce inflammation, pain, and swelling.
  • Oral retinoids. This type of drug is able to handle the already severe suffer from hydradenitis suppurativa.
  • Hormone therapy with contraceptive pills containing artificial estrogen can reduce the secretion of the sweat glands and control the lump.
  • Biological agents. Doctors will inject these types of drugs to encourage the body’s defense system to attack germs. However, this type of drug has serious side effects.


To deal with the growing hidradenitis suppurativa, the patient generally has to undergo surgical procedure. Some types of surgery that can be done is:

  • Incision and drainage of the abscess, to open a lump that has become a bag and dry it out of the pus fluid.
  • Opening the lining of the sinuses between bumps, by cutting the skin and the flesh into the roof of the ducts.
  • Lifting operation to remove all infected lumps and parts of skin.
  • Laser surgery, will be done to handle new lumps that are in the skin layer However, the laser will also destroy the patient’s hair follicle.

Complications of Hidradenitis Suppurativa

There are several complications that sufferers can suffer from hydradenitis suppurativa if the disease is not treated immediately:

  • Impeded drainage of lymph nodes that cause swelling of the arms, legs, or genital area. Hidradenitis suppurativa often involves the lymph nodes located near the sweat glands.
  • Limited movement of the patient’s body. This is the result of pain in suppurvic hidradenitis lumps and skin loss of elasticity due to scarring.
  • Changes in skin texture and scarring. The skin becomes darker in areas of already suppurable hydradenitis suppurativa or forming hollows.
  • Isolated from the environment due to the form and smell of hydradenitis suppurativa.

Prevention of Hidradenitis Suppurativa

There are several things that can be done to reduce the risk of suppurative hidradenitis growing worse and so as not to recur, namely:

  • Wear clothes that are not too tight.
  • Quit smoking.
  • Keep skin clean and limbs.
  • Control weight.
  • Do not shave areas of infected skin, to avoid irritation. Also avoid using perfume or deodorant in the infected area.
  • Keep your body temperature from sweating too often.
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