Hidradenitis Suppurativa Treatment
Hidradenitis Suppurativa (HS) is a chronic and often painful skin condition that can significantly impact quality of life.
Characterized by recurring bumps, abscesses, and scarring in sensitive areas, HS often goes undiagnosed or misdiagnosed for years, leading many to suffer in silence.
At Advanced Dermatology, P.C., we understand the physical discomfort and emotional frustration HS can bring. Our board-certified dermatologists specialize in diagnosing and treating HS with compassion, clarity, and evidence-based solutions tailored to your needs.
Keep reading to learn more about hidradenitis suppurativa, or schedule an appointment today to start a personalized care plan.
What is Hidradenitis Suppurativa?
Hidradenitis Suppurativa is a chronic inflammatory skin condition that affects hair follicles, most commonly in areas with friction, sweat, or apocrine glands such as the underarms, groin, buttocks, and breasts.
It causes painful, swollen nodules that may rupture and drain, leading to sinus tracts and scarring.
How Common is Hidradenitis Suppurativa?
HS affects an estimated 1 in 100 people. However, the actual number may be higher because the condition is often mistaken for boils or infections. Many people live with HS for years before receiving an accurate diagnosis.
Who is Most Likely to Develop Hidradenitis Suppurativa?
HS most commonly develops after puberty and is more frequent in:
- Women.
- Individuals with a family history of HS.
- People with metabolic conditions like obesity or insulin resistance.
- Smokers.
Hidradenitis Suppurativa Symptoms
The symptoms of hidradenitis suppurativa typically appear in skin folds and progress over time. Key symptoms include:
- Painful, red bumps under the skin.
- Blackheads in clusters.
- Abscesses that break open and leak pus.
- Tunnels (sinus tracts) under the skin.
- Thick, rope-like scarring.
Stages of Hidradenitis Suppurativa Symptoms
HS is often described using the Hurley staging system:
- Stage I: Isolated boils or nodules without scarring.
- Stage II: Recurrent abscesses with limited tunneling and scarring.
- Stage III: Extensive interconnected tracts, chronic inflammation, and significant scarring.
How to Differentiate Hidradenitis Suppurativa from Other Skin Conditions
HS may be mistaken for:
- Ingrown hairs.
- Folliculitis.
- Acne.
- Cysts.
What sets HS apart is the pattern, persistence, and recurrence of painful bumps in specific areas and their tendency to heal with scarring.
If you’ve experienced recurring boils or abscesses in the same places, it’s time to speak with a dermatologist.
Hidradenitis Suppurativa Causes
The exact cause of hidradenitis suppurativa is still not fully understood. However, it’s believed to result from follicular occlusion (blocked hair follicles), followed by inflammation and infection.
Factors that may contribute include:
- Genetics.
- Hormonal changes.
- Smoking.
- Obesity.
- Immune system dysregulation.
HS is not contagious and is not caused by poor hygiene.
How is Hidradenitis Suppurativa Diagnosed?
There is no specific test for HS. Diagnosis is based on:
- Physical exam of the affected areas.
- History of recurring abscesses in the same location.
- Assessment of disease stage and symptoms.
Early diagnosis is key to managing the condition effectively and preventing progression.
Treatment Options for Hidradenitis Suppurativa
While there is no permanent cure for HS, effective treatments are available to manage symptoms, reduce flares, and improve quality of life.
At Advanced Dermatology, P.C., we create personalized treatment plans based on your symptoms, stage, and skin type.
Medical Treatments for Hidradenitis Suppurativa
Medical dermatology treatments may include:
- Antibiotics: Oral or topical, to treat and prevent infection.
- Biologics: Such as adalimumab (Humira®) to reduce inflammation.
- Hormonal therapy: For patients with hormone-related triggers.
- Steroid injections: To reduce swelling and pain in active lesions.
Surgical Options for Severe Cases
- Incision and drainage: For painful abscesses (not a long-term solution).
- Laser therapy: To destroy hair follicles and reduce recurrence.
- Excision surgery: To remove chronic or scarred tissue in advanced HS.
Topical and Oral Medications
- Antibacterial washes (e.g., chlorhexidine).
- Retinoids (vitamin A-based medications).
- Oral anti-inflammatories.
Lifestyle Modifications to Manage Hidradenitis Suppurativa
- Quit smoking to reduce inflammation.
- Weight management to minimize skin friction.
- Wear loose-fitting, breathable clothing.
- Avoid shaving the affected areas.
When Should You See a Hidradenitis Suppurativa Specialist?
You should consult a dermatologist experienced in hidradenitis suppurativa if:
- You have recurring boils, cysts, or painful nodules in skin folds.
- Over-the-counter or general treatments haven’t helped.
- You’re starting to develop scars, tunnels, or skin changes.
- HS is affecting your ability to work, exercise, or socialize.
Prompt evaluation and proper diagnosis can significantly improve outcomes.
Our Approach to Hidradenitis Suppurativa Care
At Advanced Dermatology, P.C., we recognize that HS affects more than just your skin. It can also affect your emotional well-being and confidence.
Our team of board-certified dermatologists takes a compassionate, multidisciplinary approach that includes:
- Thorough evaluation and diagnosis.
- Customized treatment planning.
- Long-term symptom management and monitoring.
- Coordination with other specialists when needed.
We’re here to help you regain control and live more comfortably with HS.