- Best Treatment
- What Is
What is the best treatment for hidradenitis suppurativa?
If you repeatedly have painful bumps in your armpits or groin, you might have hidradenitis suppurativa. This is a common condition in which you repeatedly get pus-filled throbbing boils in your forearms. The condition is often recurring and embarrassing for youth.
The following tips may help prevent the boils from recurring
- Wear loose clothing.
- Stop smoking.
- Maintain good hygiene.
- Lose excess weight (if you are obese).
- Avoid underarm waxing. You may opt to shave the hair instead.
The doctor may prescribe/suggest
- Apply warm normal saline compresses and topical Burow's solution (5% aluminum subacetate) for 30 minutes to relieve pain (during the active inflammatory stage).
- Take a suitable antibiotic course.
- Topical antibiotics such as 1 percent clindamycin, along with povidone-iodine or 5% benzoyl peroxide, for frequent washing.
- For children,
- Surgical excision (in later stages and recalcitrant cases) or
What is hidradenitis suppurativa?
Hidradenitis suppurativa is a chronic skin condition that may cause small, painful lumps under your skin. The lumps can break open or form tunnels under the skin. The condition mostly affects areas where the skin or skin folds rub together, such as the armpits, buttocks and groin.
Around one to four percent of people in their early 20s are affected by this condition and women are affected more than men.
What are the symptoms of hidradenitis suppurativa?
The characteristic symptoms of these skin conditions are as follows
- Blackheads: It starts with small pitted areas of the skin containing blackheads. It may appear in several body locations such as the groin, pubic region, buttocks, armpits and under the breast and may return often.
- Painful lumps: It always starts with a single, painful small lump under the skin that persists for weeks or months. Later, you may have more bumps. They usually appear in body areas with hair follicles that are more prone to sweating such as the groin and armpits. It may also appear in areas where the skin rubs together, such as skin folds under the breast, buttocks and inner thighs.
- Tunnels: Over time, tunnels connecting the two lumps may form under the skin. They don’t improve in a few weeks, but heal very slowly and often flare. They can leak very smelly pus.
Some may experience only mild symptoms. The severity of this skin condition will be assessed by your doctor in three stages
- Stage I: Solitary or multiple isolated abscess (pus-filled lump/nodules) without the formation of any tunnel or scarring.
- Stage II: Recurrence of pus-filled lump, single or multiple widely spaced lesions (tissue damage) with the formation of tunneling in the wound.
- Stage III: A wide and large spread of pus-filled lumps with multiple tunnels in the wound.
What are the causes of hidradenitis suppurativa?
The exact cause of hidradenitis suppurativa is unknown. It may be associated with risk factors such as
- Excess weight
- Hormonal changes
- Heat or humidity
- Gender (more common in women than in men)
- Family history
- Genetic predisposition to acne
- Certain comorbidities such as
- Inflammatory bowel disease (ongoing inflammation of the digestive tract)
- Spondyloarthropathies (arthritis that usually strikes the bones in your spine and nearby joints)
- Epithelial tumors (enlargement of cells that cover the outer layer of the ovary)
- Pyoderma gangrenosum (a painful inflammatory skin condition)
IMAGESBrowse our medical image collection of allergic skin disorders such as psoriasis and dermatitis and more caused by allergies See Images
Health Solutions From Our Sponsors
American Academy of Dermatology Association
Indian Journal of Dermatology
Top Best Treatment for Hidradenitis Suppurativa Related Articles
Skin Diseases: 15 Uncommon Skin ConditionsGenetic illnesses, health conditions, or infections cause your skin to react in unusual ways. Learn about these conditions and what they can do to skin.
Does Stress Make HS Worse?HS is a chronic skin condition that causes painful bumps in areas such as the groin, axilla, buttocks and under the breasts. Yes, stress can make hidradenitis suppurativa (HS) worse.
Does Vicks Work on Hidradenitis Suppurativa?Vicks VapoRub is not an established or prescribed treatment for hidradenitis suppurativa (HS). However, it is often promoted as a solution to HS problems. There is no scientific evidence to prove its safety or efficacy, but applying Vicks VapoRub could reduce pain or mask the odor that exudes from hidradenitis suppurativa flares.
Hidradenitis Suppurativa (Acne Inversa)Hidradenitis suppurativa (HS or acne inversa) is a chronic skin condition that causes painful red abscesses in the groin and armpits that may drain foul-smelling pus. Treatment options include weight loss, smoking cessation, topical antibiotics, and avoidance of tight-fitting underwear. Finasteride and adalimumab may be helpful for those with resistant cases of HS.
How Do You Get Rid of Bumps on Your Pubic Area?Treatment of bumps on the pubic area depends on the cause of the bumps. Home remedies, over the counter (OTC) creams or simple lifestyle changes can help you manage them. However, you should talk to your doctor if the bumps or itching don't improve or suspect a medical condition.
The Skin (Human Anatomy): Picture, Definition, Function and Skin ConditionsThe skin is the largest organ in the body that covers the entire external surface. It protects the internal organs from germs and thus helps prevent infections. The skin is made up of three main layers.
Skin Picture QuizCould you identify a scabies infestation? Take the Skin Diseases Pictures Quiz and learn to identify common conditions that plague human skin.
Skin PictureThe skin is the largest organ of the body, with a total area of about 20 square feet. See a picture of the Skin and learn more about the health topic.
Skin Problems: Contagious Rashes, Bumps, and BlistersWhy do rashes, bumps, and blisters appear on your skin? There are several medical causes. Find out what causes bumps, rashes, and other skin conditions in adults and children. Whether on the arm, leg, trunk, or head, itchy or painful rashes and bumps can often be treated using home remedies or medicine.
Skin Problems: A Visual Guide to CystsThese small sacs filled with fluid, tissue, hair, or dead skin can form almost anywhere on your body. Find out more about why cysts form and what you can do about them.
The Skin: 7 Most Important Layers and FunctionsThe skin is the largest organ in the body and it covers the body's entire external surface. It is made up of seven layers. The first five layers form the epidermis, which is the outermost, thick layer of the skin. The hypodermis is the deepest layer of skin situated below the dermis.
What Are the Types of Skin Lesions?A skin lesion is an abnormal growth or rash on the skin as compared to normal skin. There are two main categories of skin lesions: primary and secondary lesions. Primary skin lesions are abnormal skin conditions that may be present at birth or acquired later. Secondary skin lesions are a result of irritated or manipulated primary skin lesions.
Skin & Your HealthSkin problems are often the first signs of serious underlying health problems. Diabetes, lupus, hepatitis C and lung cancer are all illnesses that can relate to various skin disorders.