Hidradenitis suppurativa (HS) is a chronic skin disease characterized by clusters of abscesses, epidermoid cysts, sebaceous cysts, pilonidal cysts that most commonly affects apocrine sweat gland bearing areas, such as the underarms, under the breasts, inner thighs, groin and buttocks.[1] The disease is not contagious. HS cysts can be extremely tender and may persist for years with interspersed periods of inflammation, culminating in incision and drainage of pus from the cyst. This process often forms open wounds that will not heal and frequently leads to significant scarring. For unknown reasons, people with HS develop plugging of their apocrine glands.[2] Incision and drainage procedures may provide symptomatic relief. HS flares may be triggered by sweating, hormonal changes related to the menstrual cycle), humidity and heat, and friction from clothing. Persistent lesions may lead to the formation of sinus tracts, or tunnels connecting the abscesses or infections under the skin.[3] At this stage, complete healing is usually not possible, and progression is variable, with some experiencing remission for months to years at a time, while others may worsen and require multiple surgeries. Bacterial infections and cellulitis (deep tissue inflammation) are other common complications of HS. Depression and physical pain are often seen with HS and can be difficult to manage.[4]
Posted on: Fri, 26 Sep 2014 06:14:14 +0000
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