alexa Hidradenitis suppurativa | Germany| PDF | PPT| Case Reports | Symptoms | Treatment

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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

    Naldi (2006) has reviewed the risk factors for HS. A case-control study of factors associated with HS in 302 patients (Revuz et al., 2008) confirmed that smoking and overweight are the two main factors associated with HS. Because no temporal relationship or dose effect has been demonstrated between smoking and HS, this strong association cannot be considered a true risk factor. Furthermore, no specific mechanism has been shown to explain this association, and no study has documented the effect of smoking cessation. Nonetheless, the medical community generally accepts that smoking is the most important triggering factor of HS
     
 

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