Hidradenitis Suppurativa: What do you need to know about hidradenitis suppurativa? Symptoms and causes

Hidradenitis Suppurativa is an arising disease, characterized by the presence of painful lumps on the skin. Usually, this condition often occurs in areas of skin rubbed such as armpits, groin, buttocks, also breasts. Find out more about Hidradenitis Suppurativa and the latest home remedies by listening to Hidradenitis Suppurativa: What do you need to know about hidradenitis suppurativa? Symptoms and causes.


What is Hidradenitis Suppurativa?

Hidradenitis is a condition that causes small lumps under the skin. Lumps are painful and pus-filled. This condition is sometimes referred to as acne inversa.

Hidradenitis suppurativa arises on skin that has hair and sweat glands, especially in rubbed areas, such as armpits, groin, thigh folds, buttocks, and breasts. This condition tends to occur after puberty and lasts for long periods (chronic).

In some cases, pus ducts can form under the skin, also known as sinus pilonidal. The duct is connected with many lumps, so infection and inflammation extend to other areas.


What causes the onset of Hidradenitis Suppurativa?

Hidradenitis suppurativa occurs due to clogged hair follicles. The exact cause of the blockage is unknown at this time. However, it is suspected that this is due to several things such as:

  • Friction between skin and clothing
  • Distorted immune response to good bacteria
  • Secondary bacterial infection, i.e. Infection that develops during or after treatment for other infections
  • Certain medications


Is hidradenitis suppurativa contagious?

No, hidradenitis suppurativa is not an infectious disease. The disease cannot be transmitted through physical contact, sexual activity, or is affected by the cleanliness of the sufferer.


What are the specific factors a person is more at risk of suffering from suppurativa hidradenitis?


Hidradenitis Supurativa can be experienced by anyone who has just reached puberty, particularly those between 18 and 29 years.



In most cases, suppurativa hidradenitis occurs in a person who has a family member with a similar condition, this has a 30% chance.



Suppurativa hydrohidradenitis is more common in women than it is in men.



Obesity and smoking habits have been shown to increase the risk of hidradenitis suppurativa.



Hidradenitis is more likely to develop in someone who has Crohn’s disease, diabetes, psoriasis or metabolic syndrome.

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What are the symptoms of Hidradenitis Suppurativa?

The symptoms of hidradenitis can vary from one person to the next. Symptoms arising from this disease can also occur for many years until it worsens over time.

The first sign is the appearance of bumps, such as acne or blisters. These can feel inflamed and painful. The lump will disappear in 10 to 30 days, but it can also get worse, become a painful abscess, and emit pus that smells when it breaks.

Sometimes, more severe conditions can cause black lumps that look similar to blackheads. Even if it has been treated until it disappears, the lump will reappear leaving permanent scarring or scarring.


Where does Hidradenitis Suppurativa usually occur?

Supraforma hidradenitis is usually found under the skin with hair follicles or sweat glands. It can also experience friction such as:

  • Armpit
  • Thigh folding
  • Inner thighs
  • Neck
  • Breast folds
  • Abdominal folds
  • Behind the ears
  • The area surrounding the rectum, specifically in the cleavage

Hidradenitis Suppurativa: What do you need to know about hidradenitis suppurativa? Symptoms and causes

What do you need to know about Hidradenitis Suppurativa?


Acne Hidradenitis suppurativa can occur in the inner thigh near the genitals. This leads some to think that this is a sexually transmitted disease or another infectious disease. But there’s no need to worry because that’s not the case.


Often misdiagnosed

Because research on hidradenitis suppurativa is fairly new, the condition is often misdiagnosed. It is very important to find the right dermatologist or rheumatologist and be familiar with the symptoms caused by this disease.


It’s not your fault

Hidradenitis suppurativa occurs not due to poor hygiene.


The pain is unbearable

If the lump is touched or accidentally rubbed, it will cause excruciating pain. You can even shed a tear because of this. Hidradenitis suppurativa will make it difficult for you to walk, grab, or even sit down. Of course, this can make it difficult to complete everyday tasks, even out of the house.


There’s no cure

One of the hardest things to accept when you have Hidradenitis suppurativa is that it can be a lifelong sedentary disease. If the condition is diagnosed early, followed by starting treatment, you will enjoy a better quality of life.


Has a Dangerous Mental Effect

Hidradenitis suppurativa greatly affects the body. Therefore, many people experience mental health problems such as depression, anxiety, and low self-esteem. The stigma associated with Hidradenitis suppurativa can make many people feel ashamed of the condition of their bodies.

In addition to hidradenitis suppurativa, several diseases attack the skin. One of them is Ring Worms. Something like this can certainly reduce confidence. However, you don’t have to worry because all of that can be solved by doing some treatment.

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When should I see a Doctor?

It is important to recognize hidradenitis as soon as possible. Therefore, it is recommended that you see a doctor for further examination if a lump appears under the skin, accompanied by the following symptoms:

  • Pain
  • It won’t get any better within a few weeks
  • Arises not only in one part of the body
  • Spread to other parts of your body
  • Relapse after several weeks of treatment

To prevent complications and infections spreading, it is important to keep your doctor informed of any new symptoms.


How is Hidradenitis Suppurativa diagnosed?

Diagnosis of hidradenitis suppurativa is done by looking at the symptoms experienced along with the medical history. The doctor will then perform a physical exam and determine the severity using the Hurley Stadium scale. The explanation is as follows:


Stage 1 (mild suppurativitis hidradenitis)

In mild suppurativa hidradenitis, there are only one or more lumps in an area of the skin. Stage 1 does not cause widespread ulcers or scars indicating a heavier condition. However, if left untreated while still at this stage, the disease may increase faster.


Stage 2 (moderate suppurativitis hidradenitis)

In moderate suppurativa hidradenitis, lumps occur repeatedly, enlarge, and can rupture. These lumps form more than one area of the body. When it breaks, the ulcer will discharge pus.


Stage 3 (heavy suppurativitis hidradenitis)

In severe suppurativa hidradenitis, lumps have spread, causing scars, pain to make the sufferer difficult to move. Because it has been widespread and occurs repeatedly, hidradenitis suppurativa stage 3 will be difficult to treat.

If the lump is accompanied by pus, the doctor will take a sample to find out the type of bacteria that develops inside the pus.

The doctor may also ask the patient to undergo a blood test to find out if he has diabetes, given that skin infections are common in people with diabetes. Blood tests are also performed to determine the degree of inflammation and infection.


How to treat Hidradenitis Suppurativa?

Hidradenitis suppurativa is a recurrent chronic condition. Therefore, this condition is often difficult to treat and requires constant treatment. Treatment is given based on the severity of the condition.

Effective treatment can be done to:

  • Reduces pain and severity of symptoms
  • Accelerate healing
  • Prevent complications


The doctor will usually recommend ways of treating hidradenitis suppurativa as below:


Administration of medicines

Some types of medicines can be used to overcome hidradenitis suppurativa including:

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Patients with painful, inflamed, wet, pus-filled ulcers will be given antibiotic medication for 1-2 weeks. Samples from the affected area are needed to check for infection. When no infection is found, a low dose of antibiotics for 3 months is administered to relieve inflammation.

In general, antibiotics serve to reduce inflammation, treat infections, and stop the formation of new symptoms. Antibiotics can be either medication was taken or creams. In the case of severe suppurativa hidradenitis, a combination of clindamycin and rifampicin antibiotics can be administered by a dermatologist.



Antiseptic cleaning fluids such as chlorhexidine 4% can be administered daily on the affected area along with other drugs.



Retinoid-type drugs such as isotretinoin and acitretin are more effective at overcoming acne but can be used in some cases.


Contraception (hormone therapy)

Hidradenitis suppurativa that relapses before the menstrual cycle may be recommended for administering contraceptive drugs.


Immunosuppressant therapy

Immune system suppressant drugs such as adalimumab and infliximab can be administered in very severe cases.



Steroid drugs are taken or injectable can be administered to reduce severe skin inflammation. Steroids have some side effects, such as weight gain, sleep disorders, and mood changes.



Painkillers are given to help relieve discomfort caused by symptoms.



This drug serves to help patients with suppurativa hidradenitis with metabolic syndrome.



The drug is usually used to treat cases of severe suppurativa hidradenitis.



If treatment with the drug is not successful, then surgery can be performed. Surgery is performed based on the severity of the disease and the location of the wound. In addition, surgery is performed to remove or remove wounds that grow deep into the skin. Other treatment methods include radiation, laser therapy, and unroofing.


Complications of Hidradenitis Suppurativa

Severe conditions of hidradenitis suppurativa or relapse continuously, often lead to complications, such as:

  • Swelling around the skin area
  • Chronic infections can cause impaired renal function and anemia
  • depression
  • Joint pain and arthritis
  • Skin cancer
  • Fistulas can also form in other areas of the body like the bladder and intestines.


How to prevent the occurrence of Hidradenitis Suppurativa?

Since the exact cause of suppurativa hidradenitis is not yet known, the best effort that can be made is to prevent the symptoms from getting worse. These include the following:

  • Keeping your weight ideal and avoiding obesity
  • Stop smoking habit
  • Wearing loose clothing
  • Bathe with warm water
  • Clean the lump area with antibacterial soap
  • Do not shave hair that grows around the lump
  • Avoiding hot and humid air

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