What Is A Hidradenitis Suppurativa?
It is defined as a disorder in which there is an involvement of the skin. It involves the sweat as well as sebaceous glands. It is also known as the acne inversa. It commonly occurs in the under arms as well as breasts and inner parts of thighs. It is also present in the groin. In some cases buttocks are also involved.
What are the signs and symptoms of Hidradenitis suppurativa?
It includes the multiple disorders such as the collection of pus or cysts. Their size varies and can be small or large in size. They are present for many years and are painful. It also shows the sign of inflammation along with the incision and drainage of pus. It makes the wound open and does not heal. This procedure gives relief from the pain. The condition can be worsened by the stress, change in hormone as well as perspiration. The other factors can be humidity or heat. The lesions may lead to the formation of scar or the formation of sinus tracts. The complete healing is not feasible and the progress of the disease differs from person to person. One can also notice remission. One can also notice the bacterial as well as cellulites infection. Pain and depression are quite difficult to control. It is difficult to diagnose as the patients are too conservative to speak about it. If it is difficult to diagnose than the treatment is not effective. It can be harmful also. The most effective treatment for this disorder is carbon di oxide laser surgery. However, surgery has been proved to be quite expensive. The affected areas are excised with the help of carbon di oxide laser surgery and the grafting is done with the help of a skin. It is also known as the orphan illness and research is still going on about this disorder. It is not caused by the poor hygiene or leprosy.
What are the causes of Hidradenitis suppurativa?
It includes the causes which are not clear till date. The females are commonly affected and so are the post pubescent individuals. The other reason can be auto immune diseases. The other causes can be increase in the sweating as well as infection caused by the bacteria. There are other factors such as the stress and problem in the functions of androgen. Increase in the weight make things worse. The loss of weight can improve the condition but cannot cure it. In advance cases the exercise can become quite painful. It increases the rate of obesity. The problem in apocrine glands or hair follicle is the main cause for this disorder. There are few triggering factors such as the obesity, mechanical irritation or maceration along with occlusion. The other factors can be tight clothes, drugs as well as the use of smoking or tobacco. Deodorants as well as the shaving areas can also affect it.
How Hidradenitis suppurativa can be diagnosed?
It includes the use of visual examination and a patient history. It is difficult to diagnose as the patients are too conservative to speak about it. If it is difficult to diagnose than the treatment is not effective.
How Hidradenitis suppurativa can be treated?
The most effective treatment for this disorder is carbon di oxide laser surgery. However, surgery has been proved to be quite expensive. The affected areas are excised with the help of carbon di oxide laser surgery. One must consult a doctor or a skin specialist. The effectiveness of the drugs is not clear yet. One can change the diet and must avoid the food rich in carbohydrates. One can go for the warm compresses. Ice must be put on the inflamed area so that the pain can be reduced. The condition can be improved with the loss of weight and avoidance of smoking. In the case of medicines one must take antibiotics along with its oral administration as it has anti inflammatory property. One must take a combination of rifampicin with a clindamycin. It must be given for 2 to 3 months. It leads to remission. The other antibiotics which can be used are the minocycline, clindamycin as well as the tetracycline. One can also use the cortico steroids along with the intra lesion steroids and they have proved to be quite effective. One can also go for the vitamin A or the use of anti androgen therapy. It has proved to be quite effective in case of randomized controlled trials. The other options can be the use of chlorohexidine which is an effective soap cleanser. The remission can also occur with the use of zinc gluconate. Anti inflammatory drugs have also proved to be quite effective along with the other options like turmeric capsules as well as the use of clindamycin topically.