Hidradenitis

Hidradenitis is a chronic inflammatory skin disease that affects the apocrine glands. These glands are located in the armpits, pubic area, mammary glands, groin area and anus. Hidradenitis appears as painful, pustular formations that can lead to scarring and even deformation of the skin.

The causes of hidradenitis are not fully known, but it is believed that disturbances in the functioning of the apocrine glands play a major role. In addition, hidradenitis can be affected by hormonal changes, immune system disorders, heredity, and improper skin care.

Symptoms of hidradenitis include painful, red swellings that can become pustules over time. In this case, there may be discharge of pus, severe pain when touched and even when walking. In some cases, hidradenitis can lead to the formation of fistulas that connect to other organs or skin surfaces.

Diagnosis of hidradenitis is carried out by a dermatologist based on examination and analysis of symptoms. In some cases, a biopsy may be required to rule out other diseases.

Treatment for hidradenitis may include the use of antibiotics, anti-inflammatory drugs, and surgical removal of the affected tissue. However, therapy should be individualized and depend on the severity of the disease.

Overall, hidradenitis is a serious skin condition that can lead to complications and even disability if left untreated. Therefore, it is important to promptly seek medical help if suspicious symptoms appear.

Hidradenitis is a purulent inflammation of the apocrine sweat glands.

Etiology

The causes of hidradenitis are hyperhidrosis, abrasions and diaper rash in combination with an infection, usually staphylococcal or less commonly streptococcal. The infection enters the glands through their excretory ducts or through the lymphogenous route.

Most often, hidradenitis occurs in the armpits, less often in the perineum and in the areola of the nipples.

Symptoms and course

First, a slight itching appears, then pain and a dense knot with a diameter of 0.5-3 cm under the skin. Fluctuation may be detected later. Inflammation can involve several glands or move from one gland to another.

There is an increase in body temperature, in the blood there is leukocytosis with a shift of the formula to the left.

Diagnostics

The diagnosis of hidradenitis is usually straightforward.

Treatment

At the infiltrative stage, treatment is conservative: rest, antibiotics, ultraviolet irradiation, skin treatment with antiseptics. When abscess formation occurs, the abscess is opened or excised within healthy tissue.

If there is a tendency to relapse, specific immunotherapy (vaccines, toxoids, immunoglobulins), restorative treatment and vitamin therapy are indicated.

Prevention

Hygiene measures and elimination of hyperhidrosis are important for prevention.

Hidradenitis: symptoms, causes and treatment

Hidradenitis is a chronic inflammatory skin disease that affects the apocrine sweat glands. It is characterized by the formation of large, painful abscesses that can occur in the armpits, groin area, breasts, and other areas where apocrine glands are located.

Symptoms of hidradenitis include red, painful nodules and swellings that can progress and develop into abscesses. If there is an infection, abscesses can become even more painful, and the skin may become red and pus may form.

Hidradenitis usually begins in adolescence or young adulthood and can last for many years. The causes of hidradenitis are not fully understood, but it is believed that inflammation of the apocrine glands may be associated with hormonal changes, a compromised immune system, and hereditary predisposition.

Treatment of hidradenitis includes conservative and surgical methods. In the mildest cases, only topical treatment may be required, such as the application of warm compresses or ointments with antiseptic properties to relieve inflammation and pain.

In more serious cases, surgery may be required. This may involve draining abscesses, removing purulent tissue, or even removing apocrine glands. Surgery can help clear the infection and prevent recurrences.

In addition, patients may be advised to make lifestyle changes and take steps to reduce the risk of exacerbations. This may include maintaining skin hygiene, avoiding trauma to affected areas, wearing loose clothing, and reducing stressors.

In general, hidradenitis is a chronic disease that requires long-term and complex treatment. Therefore, it is important to consult a dermatologist to obtain an accurate diagnosis and prescribe optimal treatment.

In conclusion, hidradenitis is an inflammatory disease of the apocrine glands that manifests as the formation of painful abscesses. Although its causes are not fully understood, there are various treatments available, including topical treatment and surgery. Regular consultation with a doctor and following the recommendations will help cope with this disease and improve the quality of life of a patient suffering from hidradenitis.