alexa Hidradenitis suppurativa | India | 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

     

    HS was initially thought to involve principally the apocrine glands. However, subsequent histopatho-logical observations have demonstrated minimal to absent apocrine involvement. It has been suggested that follicular obstruction, folliculitis and subsequent cystic dilatation may represent important early changes in HS which could be brought about by lithium. Apocrine glands do not always open directly onto the skin surface, and may discharge into the superficial portion of the pilosebaceous duct, proximal to the ostium for the sebaceous gland. In such instances, superficial follicular obstruction may cause dilatation of both the apocrine and sebaceous glands, inflammation and subsequent bacterial infection.
     
 

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