Treatments

Hidradenitis Suppurativa

Hidradenitis Suppurativa, also known as “inverse acne,” is a chronic skin condition characterized by painful lumps, abscesses, and drainage in body fold areas such as the armpits, groin, buttocks, and under the breasts.

With early diagnosis and proper treatment, the disease can be managed, and flare-ups can be reduced.

What Causes Hidradenitis Suppurativa?

The exact cause of HS is not fully understood; however, several factors are believed to play a role:

  • Hair follicle blockage and inflammation

  • Immune system dysregulation

  • Genetic predisposition (family history)

  • Hormonal factors

  • Smoking and obesity

These risk factors may increase the likelihood of developing HS.

Symptoms of Hidradenitis Suppurativa

HS usually begins with small lumps that can progress over time. Common symptoms include:

  • Painful nodules and lumps

  • Recurrent abscesses

  • Drainage with unpleasant odor

  • Fistula formation

  • Scarring and permanent skin changes

Treatment Options for Hidradenitis Suppurativa

HS is a chronic disease, and while it may not always be completely cured, it can be effectively managed with the right treatment.

1. Lifestyle Modifications

  • Quitting smoking

  • Weight management

  • Gentle skincare and hygiene practices

2. Medication

  • Antibiotics → To control inflammation and infection

  • Pain relievers → To improve quality of life

  • Biologic therapies (anti-TNF agents) → For moderate to severe HS

  • Retinoids and corticosteroids → In selected cases

3. Surgical Treatment

  • Drainage of small abscesses

  • Removal of fistulas and scar tissue

  • Wide excision and skin grafting (in advanced cases)

Frequently Asked Questions (FAQ)

1. Is Hidradenitis Suppurativa contagious?
No, HS is not contagious.

2. Can HS be completely cured?
HS is a chronic condition, but symptoms can be controlled with proper treatment.

3. What age group is most affected?
HS usually starts after puberty and is most common between the ages of 20–40.

4. Can HS cause cancer?
In very rare cases, untreated long-term HS may increase the risk of skin cancer. Regular medical follow-up is important.

5. Does diet affect HS?
Yes. Obesity, smoking, and an unhealthy diet can worsen HS. A healthy lifestyle may help reduce flare-ups.

Note: This article is for informational purposes only. Always consult a doctor for accurate diagnosis and personalized treatment.

TREATMENTS

Prof. Dr. Mustafa Ateş

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