Hidradenitis Suppurativa

Henry Ford Health Department of Dermatology offers one of the largest Hidradenitis Suppurativa specialty clinics in the United States. We offer specialty care and cutting edge research focused towards improving the health of our HS patients. Welcome to our guide on Hidradenitis Suppurativa. This chronic skin condition causes painful, recurring abscesses and nodules in areas such as the armpits and groin. Learn more about the symptoms, causes, diagnosis, treatment options, and find support and resources to help manage this condition.

What is Hidradenitis Suppurativa?

Hidradenitis suppurativa is a chronic skin condition that causes painful, recurrent abscesses and boils in areas such as the armpits, groin, and buttocks. It can greatly impact a person's quality of life.

What causes Hidradenitis Suppurativa

The exact cause of hidradenitis suppurativa is unknown, but it is thought to be caused by a combination of genetic and environmental factors. Some studies suggest that hormonal imbalances, smoking, and obesity could contribute to the development of the condition.

What can make Hidradenitis Suppurativa worse?

Certain factors can exacerbate the symptoms of hidradenitis suppurativa. These include excessive sweating, friction or pressure on the affected areas, hormonal fluctuations, stress, and certain medications or treatments. Additionally, smoking and obesity have been shown to make the condition worse and increase the frequency and severity of flare-ups.

What are risk factors associated with Hidradenitis Suppurativa?

The risk factors associated with hidradenitis suppurativa include a family history of the condition, being female, and being between the ages of 20 and 40. Other factors that can increase the risk include certain hormonal imbalances, a history of acne or follicular occlusion disorder, and a history of inflammatory bowel disease.

What treatment options are available for Hidradenitis Suppurativa?

Medications that may be prescribed to manage symptoms:

• Topical or systemic antibiotics
  
• Corticosteroids
  
• Immunosuppressants
  
• Biologics

Surgical options can range from:

• Drainage of abscesses
  
• Deroofing of HS lesions
  
• Complete removal of affected areas
  
• CO2 laser excision of HS lesions
  
  • This treatment offers a low rate of recurrence of HS at the site of surgery compared to traditional surgical excision