Understanding Hidradenitis Suppurativa (HS)
Have you ever noticed painful, recurring skin boils under your arms, groin, or buttocks that won’t go away? These might not be just ordinary pimples or ingrown hairs—they could be a sign of Hidradenitis Suppurativa (HS), a chronic inflammatory skin disease. Let’s dive into what HS is, how to recognize it, and what you can do about it.
What is Hidradenitis Suppurativa (HS) and How Does It Affect the Skin?
Hidradenitis Suppurativa is a chronic skin condition that causes small, painful lumps to form under the skin. These lumps can turn into abscesses or boils that may break open and leak fluid or pus. HS typically occurs in areas where skin rubs together, such as the armpits, groin, buttocks, and under the breasts.
How to Identify Hidradenitis Suppurativa (HS) Early
HS often starts with a single, painful lump under the skin. Over time, more lumps may form, and these can grow and become increasingly painful. Here are key signs that those painful boils under your arms might actually be HS:
- Recurring Painful Skin Lumps: Unlike regular acne or cysts, HS boils frequently return in the same areas, such as underarms and the groin.
- Painful, Tender Lumps: The lumps are usually sore and can cause significant discomfort.
- Drainage: The lumps can break open and drain fluid or pus, sometimes leading to unpleasant odors.
- Scarring and Skin Thickening: As the lumps heal, they can leave behind scars and thickened skin.
Causes of Hidradenitis Suppurativa: Why Do Painful Skin Lumps Develop?
The exact cause of HS isn’t fully understood, but it is believed to be related to inflammation of the hair follicles and sweat glands. Several factors may increase the risk of developing HS, including:
- Genetics: HS often runs in families, suggesting a hereditary link.
- Hormonal Influence: The condition often starts after puberty, indicating hormones might play a role.
- Lifestyle Factors: Smoking and obesity are known risk factors that can contribute to HS flare-ups.
Treatment and Management Options for Hidradenitis Suppurativa (HS)
While there is no cure for HS, there are various ways to manage symptoms and reduce flare-ups. Treatment options include:
Medical Treatments
- Antibiotics: Help reduce infection and inflammation.
- Corticosteroids: Steroid injections can decrease inflammation and pain.
- Hormonal Therapy: For some patients, hormone treatments can be effective in managing symptoms.
- Biologic Medications: Advanced treatments that target specific parts of the immune system to reduce inflammation.
Procedural Treatments
- Deroofing Surgery: A minor in-office procedure that can eliminate draining tunnels.
- Laser Hair Removal: Removing hair from affected areas can prevent new lesions and improve existing ones.
Home Remedies and Lifestyle Changes
- Warm Compresses: Helps reduce pain and promote drainage.
- Proper Hygiene: Keeping the affected areas clean and dry can prevent infections.
- Loose Clothing: Wearing loose, breathable fabrics minimizes friction and irritation.
- Healthy Lifestyle: Maintaining a healthy weight and quitting smoking can significantly reduce flare-ups.
When to See a Doctor
If you are experiencing recurring painful boils in high-friction areas like the underarms, groin, or buttocks, consult a dermatologist immediately. Early treatment for Hidradenitis Suppurativa can prevent complications, reduce scarring, and improve your quality of life.
Looking for a Hidradenitis Suppurativa Specialist in California?
Schedule an appointment at the Skin and Beauty Center today. Our board-certified dermatologists, including Dr. William D. Shipman, MD, PhD, offer expert HS treatment options, including laser therapy, biologic treatments, and advanced skin care solutions. Don’t let HS impact your quality of life—book your appointment today to take the first step toward relief!
Author: William D. Shipman III, MD, PhD.
