Hidradenitis Suppurativa

Hidradenitis suppurativa (acne inversa) is chronic recurrent inflammatory disease of apocrine-gland-bearing intertriginous areas (axilla/groin/buttocks/submammary), presenting with painful nodules/abscesses/sinus tracts/bridged scars/comedones. Treatment: mild: topical clindamycin; intralesional steroids; oral tetracyclines/clindamycin+rifampin; moderate-severe: biologics (adalimumab/infliximab); acitretin; surgery (deroofing/excision) for chronic sinuses; weight loss; smoking cessation; warm compresses; pain management; wound care; follow-up dermatology; monitor depression/IBD/metabolic syndrome; Hurley staging guides therapy.

Common Symptoms

Painful nodules/abscesses/sinus tracts/scarring; axilla/groin/buttocks; recurrent

Causes and Pathogenesis

Follicular occlusion + secondary apocrine inflammation/secondary infection cause chronic abscess/sinus.

Treatment

Topical clindamycin; oral tetracyclines/clindamycin+rifampin; biologics; surgery

Preventive Measures

Weight loss; smoking cessation; loose clothing; avoid shaving.

Department to Visit

It is recommended to visit the Dermatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.