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Hidradenitis Suppurativa

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  • Hidradenitis suppurativa

     Hidradenitis suppurativa (HS) is a common (though rarely diagnosed), chronic skin disease characterized by clusters of abscesses or subcutaneous boil-like "infections" (oftentimes free of actual bacteria) that most commonly affects apocrine sweat gland bearing areas, such as the underarms, under the breasts, inner thighs, groin and buttocks.

  • Hidradenitis suppurativa

     Hidradenitis suppurativa commonly occurs around hair follicles, where many oil and sweat glands are found, such as in the armpits, groin and anal area.

     
    Medical management of hidradenitis suppurativa is difficult. The aim is to catch the disease in its early stages and treat and control these milder forms. Antibiotics are usual therapy (partly to eradicate secondary bacterial infection and partly for their anti-inflammatory action) and long courses may be necessary. Weight loss in obese patients and smoking cessation are recommended.
     
  • Hidradenitis suppurativa

    The particular propensity of HS patients to develop recurrent or chronic suppurative lesions containing commensal opportunistic flora suggests that HS is, indeed, not a primary infectious disease but instead a skin condition that predisposes patients to develop self-infections (or “autoinfections”) or recurrent or chronic skin inflammatory lesions, possibly because of the abnormal regulation of bacterial commensal flora. The efficacy of targeted antibiotics pleads in favor of this hypothesis
     
 

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