Experts explain what's involved with the process.
The exact cause of hidradenitis suppurativa is unknown, but experts think hormones, genetics, and environmental factors may be involved, according to GARD. In fact, roughly 30% to 40% of people with hidradenitis suppurativa have at least one family member with the condition.
Your dermatologist will ask where your lesions typically occur and examine any bumps if you have them at the time of your appointment, according to the ADA.Hidradenitis suppurativa is classified into three stages, depending on the disease’s symptoms and severity.Hurley stage 1: This is the mildest stage of the disease and you may get abscesses, but you don’t have more severe symptoms like scarring or sinus tracts.
You can prevent infections by using an antiseptic cleanser like chlorhexidine 4% or benzoyl peroxide in the shower. You may use liquid or gel antibiotics on lesions to avoid infection or reduce inflammation. Your doctor might also prescribe oral antibiotics to reduce inflammation or to treat infections. Generally, antibiotics are most effective for stage 1 and stage 2 hidradenitis suppurativa.Over-the-counter pain medications like nonsteroidal anti-inflammatory drugs may help reduce your pain if you have mild hidradenitis suppurativa.
Biologics are generally recommended for people with stage 3 hidradenitis suppurativa. “For people who have severe hidradenitis suppurativa, I usually go right to biologics,” Dr. Xu says. “They’re sort of a big gun for treatment.”There are various surgical options for hidradenitis suppurativa, which includeIncision and drainage is one option if you have a particularly painful hidradenitis suppurativa abscess and need some pain relief.
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