Hidradenitis Suppurativa: Understanding the Condition

Hidradenitis Suppurativa: Understanding the Condition

Hidradenitis Suppurativa (HS) is a chronic, painful skin condition marked by inflamed lumps, abscesses, and tunnels under the skin, commonly in areas with friction.

Causes

  • Inflammation of hair follicles
  • Genetic predisposition
  • Hormonal imbalances
  • Immune system dysfunction

Symptoms

  • Painful lumps under the skin (armpits, groin, buttocks, under breasts).
  • Abscesses or boils that rupture and drain.
  • Formation of sinus tracts (tunnel-like scars) under the skin.

Diagnosis

  • Based on physical examination of lesions.
  • Medical history and symptom patterns are considered.
  • Biopsy or cultures to rule out other conditions (if needed).
  • ⁠USG / MRI may be needed.

Treatment

  • Topical and oral antibiotics.
  • Anti-inflammatory medications (corticosteroids, biologics like TNF-alpha inhibitors).
  • Surgical drainage or removal of sinus tracts in severe cases.
  • Lifestyle changes (weight loss, smoking cessation, improved hygiene).

Risk Factors

  • Family history of HS.
  • Obesity and metabolic syndrome.
  • Smoking.
  • Hormonal changes (e.g., menstruation).
  • Common between ages 20-40.

Importance of Early Detection

Early treatment helps prevent worsening symptoms, reduces chronic pain and scarring, and improves long-term outcomes.