Hidradenitis suppurativa also known as acne inversa is a lumpy, painful, long term skin condition that causes abscesses and scarring on the skin.
These lumps usually develop in areas where there is excessive sweat, more oil glands or your skin rubs together, such as nap of the neck, armpits, groin, inner thighs, back of knees, buttocks, anus, genitals and breasts.
The lumps heal slowly, recur, and can lead to tunnels under the skin and scarring.
Hidradenitis suppurativa tends to start after puberty, usually before age 40. It can persist for many years and worsen over time.
It’s less common before puberty and after the menopause, which may suggest that the sex hormones during childbearing age play a part.
Women are almost three times more likely to develop hidradenitis suppurativa.
It is a non-contagious condition which means it doesn’t spread through direct skin to skin contact.
Common Symptoms
This condition can appear in one or several areas of the body and the symptoms range from mild to severe in their intensity.
- They appear like a mixture of red boil-like lumps, blackheads, scarring and channels or sinus tract in the skin that leak pus.
- Painful pea-sized lumps. The condition usually starts with a single, painful lump that persists for weeks or months.
- Deep nodules (solid, elevated under the skin).
- Cyst – a lump containing fluid or other substance with offensive foul odour under skin.
- Some of the lumps may become infected with bacteria, causing a secondary infection.
- The bumps can be itchy and tend to occur on both sides of the body.
- The bumps keep going away and coming back at the same spot or at different locations.
- Many people with the condition also have acne and excessive hair growth (hirsutism).
These triggers may worse the condition:
Stress, being overweight, hormonal changes, heat and smoking.
Possible causes and Risk factors:
The exact cause of hidradenitis suppurativa is unknown, but the lumps develop because of blocked hair follicles where there are sweat glands.
- Genetics is thought to play a role in it as it is seen to run in families.
- Also linked with an overactive immune system.
- Certain medical conditions may raise its risks such as acne, arthritis, metabolic syndrome that increases risk of developing heart disease, type 2 diabetes, stroke, high blood pressure, IBD – Crohn’s disease, excess fat around the waist, high levels of triglyceride and low level of good cholesterol.
DO’S & DON’T’S Lifestyle advice
- Lose weight if you are overweight
- Stop smoking if you smoke
- Use an antiseptic skin wash or antiseptic soap
- Wear loose fitting clothes
- Avoid shaving affected skin and avoid wearing perfume or perfumed deodorants in the affected areas.
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You may need to continue taking these remedies from few weeks to few months or until the desired results – depending upon the severity and chronicity of your condition.
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Some patients may experience a little aggravation or worsening of their symptoms, specially in skin disorders – which is absolutely normal and a good sign, as most natural remedies tend to bring the disease in its expressive state – rather suppressing it deeper under the skin etc.
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