Dr. Ertan Beyatlı

How is hydradenitis treated?

(Update: ) - Skin and soft tissue diseases

What is hydradenitis?

Hidradenitis Süpürativa disease is a chronic (chronic) skin inflammation that develops in the armpit. Wounds and swelling due to inflammation abscess It happens in the form. Such swelling and sores are common in the armpits, groin and anus. If treated early, the success rate will be very high.

Hidradenitis Süpürativa disease

In women, it can also occur in the lower part of the breasts, between the hips and the inner thigh. Hard, crusted and ugly wounds (scar) develop in the area due to constantly recurring inflammatory events. It usually starts in the age of adolescence.

Hidradenitis suppurativa does not cause cancer nor is it a malignant disease.


Hidradenitis suppurativa develops when hair follicles become blocked and become inflamed. No one knows exactly why this blockage occurs. Factors that can play a role include hormones, metabolic syndrome, genetics, irregular immune system response, smoking, and overweight.

Hidradenitis suppurativa is not caused by an infection and cannot be sexually transmitted. It is not contagious and does not consist of low hygiene requirements.

Risk factors

Factors that can increase your risk can include:

  • Age. Hidradenitis suppurativa is most common in women aged 20-25. An early onset age may be associated with more widespread disease development.
  • Gender. Women are more likely than men to develop hidradenitis suppurativa.
  • Family history. The tendency to develop Hidradenitis suppurativa can be inherited.
  • Other terms. Hidradenitis suppurativa can be associated with many other conditions, including arthritis, severe acne, obesity, inflammatory bowel disease, Crohn's disease, metabolic syndrome, and diabetes.
  • To smoke. Smoking tobacco has been associated with hidradenitis suppurativa.


Hidradenitis suppurativa usually occurs around hair follicles with many sebaceous and sweat glands, such as the armpit, groin, and anal area. It can also occur where skin rubs under the breasts and between the buttocks, such as the inner thighs. Hidradenitis suppurativa can affect one spot or many parts of the body.

Signs and symptoms of Hidradenitis suppurativa:

  • Black Point. Small dimpled areas of skin that contain blackheads - often seen in pairs or in a "double barreled" pattern - are a common feature.
  • Red, tender bumps. These bumps often expand, break, and discharge pus. The drain may have a foul odor. Itching and burning may accompany bumps. They usually appear in areas where the skin rubs against the skin.
  • Bitter, pea-sized lumps. These hard lumps that develop under the skin can last for years, expand and become inflamed.
  • Tunnels. Over time, scars that bind lumps may form under the skin. These wounds heal very slowly and pus may flow.
  • Stress, asociality

Hidradenitis suppurativa usually begins between puberty and the age of 40, with a single, painful swelling that persists for weeks or months. For some people, the disease gets progressively worse and affects many areas of their body. Other people only experience mild symptoms. Excess weight, stress, hormonal changes, heat, or moisture can worsen symptoms. Disease severity may decrease after menopause in women.

When to see a doctor

Early detection of Hidradenitis suppurativa is the key to effective treatment. See your doctor if:

  • If there is pain
  • If it does not improve within a few weeks
  • If it returns within weeks of treatment
  • If it appears in several places
  • If it recurs frequently


Persistent and severe hidradenitis suppurativa often causes the following complications:

  • Infection. The affected area is susceptible to infection.
  • Wound and skin changes. The wounds may heal, but leave thread-like sores, pitted skin, or patches of skin that are darker than normal.
  • Restriction of movement. Sores and scar tissue can cause limited or painful movement, especially when the disease affects the armpits or thigh areas.
  • Obstructed lymph drainage. The most common sites for hydradenitis suppurativa also contain many lymph nodes. Scar tissue can interfere with the lymph drainage system, which can cause swelling in the arms, legs, or genitals.
  • Social Isolation. The location, drainage, and smell of wounds can go public out of embarrassment and reluctance, causing sadness or depression.
  • Cancer. Rarely, patients with advanced hidradenitis suppurativa may develop squamous cell carcinoma of the affected skin.


There are many hidradenitis suppurativa herbal treatment mixes available among the public, but unfortunately, the results are often temporary and cause recurrent infection, abscess and fistula formation in the area. Unfortunately, this disease, whose exact cause is unknown, does not have a definite and standard treatment.

In the early period The diagnosis can prevent the progress of the wounds. When inflammation occurs in the area antibiotic and anti-inflammatory drugs can be used. In cases where abscess occurs, it can be drained by surgical intervention. Surgical excision can be applied in advanced cases.

How to take action?

  • keeping the underarm area clean
  • clothes that reduce sweating
  • lose weight
  • Not cutting underarm hair completely at the bottom
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