Hidradenitis Suppurativa

Hidradenitis Suppurativa (HS) is a chronic inflammatory skin condition that affects areas of the body where skin rubs together, such as the armpits, groin, buttocks, and under the breasts. It is characterised by painful lumps, nodules, and sometimes recurrent abscesses that may discharge fluid.

The condition can vary in severity and may require medical evaluation and long-term management. This information is intended for general awareness and should not replace consultation with a qualified healthcare professional.

What is Hidradenitis Suppurativa?

Hidradenitis Suppurativa is a condition involving inflammation of hair follicles and sweat glands. The inflammation can lead to the formation of tender lumps beneath the skin. Over time, these lumps may rupture, drain fluid, or form tunnels under the skin.

The disease often follows a recurring pattern, with periods of flare-ups and remission.

Commonly Affected Areas

Armpits (axilla)
Groin region
Buttocks
Under the breasts
Inner thighs

Symptoms

Painful lumps under the skin

Recurrent abscesses

Drainage of pus or fluid

Formation of tunnels under the skin (sinus tracts)

Possible Causes and Risk Factors

Blockage of hair follicles
Genetic predisposition
Hormonal influences
Obesity
Smoking
Friction in skin folds

Diagnosis

Diagnosis is usually based on clinical evaluation by a qualified healthcare professional. The doctor may assess the appearance of skin lesions, the location of affected areas, and the frequency of recurrence.
In some cases, additional tests may be recommended to rule out other skin conditions or infections.

Treatment Options

Medications to control inflammation or infection
Pain management
Lifestyle modifications
Minor procedures to drain abscesses
Surgical removal of affected tissue in selected cases

Lifestyle Measures

Maintaining healthy body weight
Avoiding tight clothing that causes friction
Practicing good hygiene in affected areas
Avoiding smoking

Possible Complications

Chronic pain
Scarring
Formation of sinus tracts
Secondary infections
Reduced quality of life in some individuals

When to Seek Medical Advice

Recurrent painful lumps in skin folds
Persistent abscesses or drainage
Increasing pain or swelling
Signs of infection such as fever or spreading redness

About the Author of This Information

Dr. Rajeev Kapoor is a practicing surgeon based in Mohali, Punjab. He provides clinical services in the field of gastrointestinal, colorectal, and general surgery. This website is intended for informational and educational purposes only.

Disclaimer

The information provided on this page is for general educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Treatment decisions should be made after consultation with a qualified medical professional, based on individual clinical evaluation.