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Treating Hidradenitis Suppurativa

What is Hidradenitis Suppurativa ? Treatment and Symptoms By Dr. Rohit Batra


Hidradenitis Suppurativa

Hidradenitis Suppurativa or acne inversa is a disease that begins in the form of pimple – like bumps on the skin. These painful lumps are formed under the skin that can break open and form channels under the skin. This condition mostly affects people in areas where the skin overlaps each other such as buttocks, armpits, groin, breasts, and buttocks. This condition begins after puberty, and the symptoms persist for a very long time if not taken care of.

Hidradenitis Suppurativa is mistaken for skin conditions like deep cysts, pimples, boils, or Folliculitis. It is important for people with this condition to go for early diagnosis to prevent the condition from worsening. If these bumps grow into the skin, it can form tunnels beneath the skin that can be painful. Once these bumps start healing, they form channels or tunnels under the skin, once these scars thicken, it becomes very difficult to move their arms or walk

Symptoms of Hidradenitis Suppurativa are –

The first symptoms of Hidradentis Suppurativa would be –

  • Breakouts that seem like boils or pimples
  • Skin breakouts that stay on the skin

Later signs of Hidradenitis Suppurativa are –

  • Painful breakouts that heal but reappear in the future
  • Ruptured breakouts with a foul smell
  • Repeated breakouts with scars
  • Scars that become thicker over time
  • Tunnel like channels that form beneath the skin
  • Serious skin infections

When to see a dermatologist?

It is key to seeing a dermatologist if the condition –

  • Becomes Painful
  • Does not improve in a few days or weeks
  • Returns after treatment
  • Starts appearing on several locations on the body
  • Starts flaring


Video – Watch the video to know more about Hidradenitis Suppurativa –


Today, we are going to talk about a skin condition called Hidradenitis Suppurativa. There are many when patients come to us complaining of Folliculitis or BAL Tod, but it is diagnosed as Hidradenitis Suppurativa. But, if this pus filled legions appear again and again in your underarms or pelvic region that is not simple Folliculitis or BAL Tod. It is a condition known as Hidradenitis Suppurativa.

The infection takes place in the underarms or groin, these are hairy areas, where if a patient tends to be obese and has a lot of fat, and also indulges in exercises that cause friction, the hair tends to get pulled, and they might suffer from Hidradenitis Suppurativa. The condition is quite painful, and at times antibiotics are not the

If you’re suffering from such a condition of Folliculitis again and again, and have pain or are unable to move your arm due to the scars, you might be suffering from Hidradenitis Suppurativa. There are many treatments to cure this condition, antibiotics and pain-killers are the first line of treatment, and if the patient is not responding to this treatment, then we have biologics, or if the condition is severe then some areas of the skin needs to be removed and give a better treatment for such conditions.

Laser hair reduction in these areas has shown to control the episodes of Hidradenitis Suppurativa, if you’re suffering from this condition, then do visit your dermatologist who would prescribe a personalized program depending on the profession, age, and condition, and it will help you get rid of the pustules and the unhygienic
conditions in your underarm or pelvic area and will give you better living conditions.

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