Hidradenitis Suppurativa

Hidradenitis Suppurativa

Hidradenitis suppürativa; both armpits, under the breasts, neck, groin, the face of the legs rubbing against each other. It is a disease that occurs in areas where sebaceous and sweat glands are concentrated, such as the anogenital area. It is popularly known as "dog teat". Also known as.

What are the factors that cause the disease?

The exact cause of Hidradenitis supp&uumrativa is unknown. It is thought to occur when blockage, narrowing, bacterial infection and the resulting inflammatory response in the apocrine gland duct progress to sweat glands, sebaceous glands and surrounding tissue. Factors such as genetic predisposition, sex hormones, some hormonal disorders (polycystic ovary syndrome), obesity, consumption of foods with high glycemic index, and smoking are the factors blamed for the emergence of the disease.

How is the diagnosis made?

The diagnosis is made by the physician based on clinical findings, rarely a biopsy may be required. Swabs are taken from the lesions for bacterial examination. A sample may need to be taken and sometimes various blood tests may need to be performed.

What are the complications of the disease?

It is a disease that can continue for years if left untreated. The image it causes and may cause symptoms such as embarrassment, depression and social isolation in patients due to the smell.

In addition, the development of infection, anemia, impaired lymph flow, fistulaization to the urethra, bladder, peritoneum and rectum, protein deficiency. In advanced cases, it may cause results such as contracture development due to scarring and limitation of movement in the extremities. Rarely, skin cancer may also develop on the lesions.

What are the symptoms of the disease?

Initially, a pimple-like, pea-like spell appears on the skin and under the skin. It may appear as swelling in the eyelid and regress spontaneously. Over time, new lesions form in neighboring areas and are accompanied by black spots, painful, sensitive, red and sometimes discharged swellings, and abscesses under the skin. Illness recovery is difficult. bridge to wounds and healing. similar to raised scars on the skin, formation of tunnels and channels connecting the lesions, and worsening of the lesions. may cause tissue healing-scars. The prevalence and severity of hidradenitis suppurativa varies between individuals, it can be seen in a single area or in multiple areas.

Who can have the disease? is it measured?

It usually begins after adolescence and continues for years.

It is twice as common in women than in men. Early diagnosis and treatment of the disease; It is useful in regressing complaints, eliminating symptoms and preventing the formation of new lesions.

How is Hidradenitis suppurativa treated?

Hidradenitis suppü There are many treatment options available in rativa. Treatment is done according to the prevalence of complaints, infections and lesions. For this purpose, topical and systemic antibiotics, drugs that suppress the immune system, laser treatment and, in serious cases, surgical treatment methods are used.

What should be considered during treatment?

Regulating lifestyle is important in controlling the disease. These are;

  • Keeping the relevant areas clean and dry
  • Paying attention to regional hygiene
  • Reducing friction and moisture (Synthetic and avoiding tight clothing)
  • No smoking
  • Weight loss - Excess weight increases the depth of skin folds; It causes increased friction, regional irritation and bacterial proliferation.
  • Regulation of the diet