Hidradenitis Suppurativa

Hidradenitis Suppurativa, also known as chronic recurrent inflammation of the apocrine sweat glands, is a skin disease that manifests as inflamed, painful and sometimes purulent bumps on the skin. This condition can be very painful and distressing, and can seriously affect the quality of life of those who suffer from this condition.

Inflammation of the apocrine sweat glands begins in adolescence, and can develop in the armpits, groin, chest, buttocks and other places where these glands are located. Symptoms include inflamed, painful bumps that may become purulent and produce a foul odor. This condition can be very distressing and can cause fear and mistrust in those who suffer from it.

Women are more likely to suffer from hidradenitis suppurativa than men. Although the exact causes of this disease are unknown, certain factors such as hormonal changes, heredity, smoking and obesity may increase the risk of developing this disease.

Treatment for hidradenitis suppurativa can be complex and may involve the use of antibiotics, anti-inflammatory medications, and surgical techniques. In women, this type of inflammation is successfully treated with antiandrogen therapy, which can reduce the production of male hormones and reduce inflammation.

Overall, hidradenitis suppurativa is a serious and unpleasant skin condition that can greatly impact the quality of life of those who suffer from it. However, with the right treatment, this disease can be managed and its impact on the patient's life can be reduced. If you are suffering from hidradenitis suppurativa, contact your doctor for help and support.

Hidradenitis suppurativa is an infectious disease that affects the apocrine sweat glands, which are located in the armpits. Provoking factors include chronic bacterial infections, diabetes, excess weight and chronic fatigue. Here is a brief overview of this disease and how it can be treated.

Inflammation of apocrine sweat glands. Hidradenitis most often begins in people during adolescence, when the apocrine sweat glands are activated. With normal functioning of the sweat glands, these inflammations are normally secreted through the pores of the skin. However, if the work of apocrine is disrupted, it then remains on the skin and can protrude

Hidradenosteatitis or hidradenitis suppurativa is a chronic skin disease characterized by an inflammatory process in the apocrine sweat glands. Both males and females are affected by hidradenitis, but this disease is more often diagnosed in men. The cause of the disease is inflammation of the apocrine sweat glands, inflammatory processes of which can occur

Hidradenitis suppurativa is an inflammation of the deep apocrine sweat glands, which is often called “deep armpit pimples” or “armpit cavities.” Following ancient Greek myths, the name of the disease is translated as “inflammation of sweat jelly caused by snake saliva, located not only on the surface of the skin, but also deep inside it.” Even Roman doctors, when analyzing complex cases of axillary phlegmon, always took into account the possible presence of the disease. The name of the disease in Greek is acne hyrdantica suppurativa, literally translated as “purulent pimples.” Until now, medicine has not fully elucidated the causes of this problem. However, there are 5 different theories describing this pathology. Among them, 3 dominant ones can be distinguished: androgenic, glandular and neuro-reflex.

With the androgenic (nodular) theory of hidradenitis of purulent origin, the cause lies in the influence of the male sex hormone androgen (testosterone). With a high level of testosterone, the hair follicle of the gland becomes coarse, which leads to blockage of the opening of the gland with sebum and subsequent proliferation of bacteria, an inflammatory process, a breakthrough of the abscess deep into the tissue, and the release of pus. Only due to the high content of progesterone in women, the subcutaneous secretion of sweat and sebaceous glands is practically absent during pregnancy, therefore hidradenonephrosis in pregnant women is extremely rare. Also, a small amount of testosterone is produced by the female genital organs - the adrenal glands. Complaints arise in childhood or adolescence against the background of disrupted hormonal status. The disease manifests itself in the form of swelling in the axillary pits or inguinal lesions. Papules measuring 0.3-0.5 cm are superficial due to the release of sebum and caseous plugs; treatment is not required, because the purulent process is localized only at the level of the epidermis. More severe forms of the disease include nodular ones without necrosis and abscesses. As the disease progresses, wounds appear that leave scars (leukoplakia) and a tendency to form secondary inflammation inside deep nodes (phlegmon and furunculosis).

Treatment of hidradenic abscess occurs using a hardware method against the background of puncturing the area with needles (ASVT). Treatment includes antibacterial, anti-inflammatory and surgical measures. Depending on the severity of the disease, the disease can be treated by cosmetologists, dermatologists, and endocrinologist surgeons. The surgical method is indicated in the case of a recurrent wound of the node or self-infection of pus into the surrounding tissues and for the purpose of resection of a large abscess. The disease is particularly dangerous due to complications that occur in patients with HIV infection.

Hidradenitis suppurativa is one of the few pathological conditions of the sweat glands, the treatment of which involves their removal. This inflammation occurs most often due to the proliferation of Cutibacterium acnes, a specific coccal microorganism. The disease develops in the friction zone of clothing being put on or taken off (for example, the armpits).

Since hidradenitis affects the ducts of the sweat glands and the adipose tissue itself, this disease is also known as hidradenitis cyst - or hidradenectomy, removal of the problem area.

When is surgery needed? Not all cases of hidradenitis require surgery. This disease is treated like this:

Drug therapy Antibiotics. If the inflammation does not cause general symptoms, then it is eliminated with the help of tetracycline and benzylpenicillin. Excess glucose can be reduced with sirdalud or clarimiphen citrate.

Diuretics and laxatives to reduce bowel volume. This helps replenish the lack of electrolytes. Osmotic pressure is also reduced and the activity of microorganisms that cause infection is suppressed. External use of iodoacetone, vinegar or boric acid. If the above methods do not give positive results, you need to resort to vaccination or surgery. Treatment is prescribed by a dermatologist after examining the patient. The causes of hidradenitis are studied by examining skin scrapings and discharge from affected areas, and studying the patient's medical history. For hidradenomas that have a cystic form of manifestation, doctors place a hormonal drug with corticosteroids in the affected area. Ointments are applied to the treated areas of the skin, to the most painful tumors and deep pores for 7–14 days, until the signs of pathology disappear. Afterwards, the nodes disappear when completely cured. Over time, the treated area becomes thinner and dies, and a small scar remains in its place.