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This is a chronic skin inflammation characterized by the presence of blackheads and one or more red, tender bumps or lesions. In most cases the lesions enlarge, break open and drain pus. After several recurrences, scarring may result.
Hidradenitis suppurativa develops deep in the skin around oil (sebaceous) glands and hair follicles. It is considered a severe form of acne and the parts of the body that are usually affected are also the main locations of apocrine sweat glands, such as the armpits and the groin.
This skin condition usually starts after puberty, persists for years and worsens over time. To help manage the symptoms and prevent new lesions from developing, hidradenitis suppurativa should be diagnosed and treated early.
Prepared by: Scientific Section
As mentioned before, hidradenitis suppurative usually occurs in the armpits, groin and anal area, which means that it occurs around hair follicles where many oil and sweat glands are found. This condition can also occur under the breasts, on the inner thighs, between the buttocks or any other area where the skin rubs together. Either a single area or multiple areas could be affected by hidradenitis suppurativa.
Painful, pea-sized lumps that grow under the skin. These hard lumps can enlarge and become inflamed. They usually persist for years.
As mentioned before, this condition occurs deep in the skin around sebaceous or oil glands, apocrine sweat glands and hair follicles. The apocrine sweat glands release fluid into the hair follicle as well as dead skin cells and other substances that mix with the oil from the sebaceous gland. When the oil glands and hair follicle openings become blocked with these substances, hidradenitis suppurativa occurs, and when oils and other skin products become trapped, they push into surrounding tissue. Infection and inflammation could be triggered by bacteria.
When hidradenitis suppurativa is persistent and severe, it usually causes complications such as:
Although early treatment could help manage the symptoms of hidradenitis suppurativa and prevent new lesions from developing, this disease has no cure.
Dr. Tahsin Martini
Dr. Talal Sabouni
Dr. Faisal Dibsi
Dr. Hani Najjar
Dr. Samer Al-Jneidy
Samir Moussa M.D.
Dr . Dirar Abboud
Yaser Habrawi , F.R.C.S.Ed