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Hidradenitis Suppuritiva

What is Hidradenitis Suppuritiva?

Hidradenitis suppuritiva is a skin condition that primarily affects areas with sweat glands such as the groin, perineum and axilla (underarms). It may start like a boil but typically spreads into multiple nodules, pockets under the skin and draining tracts. There may be a malodorous discharge from the affected skin.

Several factors predispose individuals to developing hidradenitis including puberty, obesity, tobacco use, stress, acne, excessive heat or hyperhidrosis (excessive sweating).

What are the symptoms of hidradenitis suppuritivia?

Symptoms may include pain, redness, swelling, or malodorous discharge from the affected skin. There may be multiple draining tracts, lumps, or in severe forms, there may be extensive scarring.

How is hidradenitis suppuritiva diagnosed?

The diagnosis can usually be made after a thorough evaluation and examination by your colorectal surgeon. Sometimes a more thorough exam of your anal canal by anoscopy or exam under anesthesia may be necessary to distinguish hidradenitis from other inflammatory conditions affecting the anal area. In patients with long standing disease or scarring it may be necessary to obtain a biopsy to exclude anal cancer.

How is hidradenitis suppuritiva treated?

Antibiotic therapy is typically the initial treatment of hidradenitis. In some patients, long-term antibiotics, other treatments or surgery may be necessary depending on the severity of the inflammation. Surgery typically includes complete excision of the diseased skin. Even after surgery, however, the disease may recur. Make an appointment with Dr. Zaghiyan in her office in Los Angeles today for a thorough assessment and treatment options.


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