Hidradenitis Specialist Los Angeles

Hidradenitis Suppurativa Treatment

Hidradenitis Suppurativa (HS), also known as acne inversa, is a chronic and often debilitating skin condition that affects thousands of individuals worldwide. At the Hidradenitis Institute, we specialize in the treatment of HS, providing comprehensive care and support to patients seeking relief from this challenging condition.

What is Hidradenitis Suppurativa?

Hidradenitis Suppurativa, also known as acne inversa, is a chronic inflammatory skin condition that affects the hair follicles and sweat glands. It typically manifests in areas where skin rubs together, such as the armpits, groin, and buttocks. HS is characterized by the formation of painful nodules, abscesses, and cysts, which can become infected and lead to the development of sinus tracts or tunnels. These symptoms often recur and can cause significant discomfort, scarring, and emotional distress.

Hidradenitis Symptoms

HS presents with various symptoms, including:

  • Painful bumps
  • Deep-seated nodules
  • Pus-filled abscesses
  • Sinus tracts.

The severity of symptoms can vary from person to person, with periods of remission and flare-ups. HS can have a profound impact on a person’s quality of life, affecting physical activities, self-esteem, and mental well-being. It is crucial to seek appropriate management and support to alleviate symptoms and enhance overall well-being.

Causes and Triggers

While the exact cause of HS remains unclear, it is believed to involve a combination of genetic, hormonal, and immune system factors. Certain triggers and risk factors can exacerbate HS symptoms, such as obesity, smoking, hormonal imbalances, and a family history of the condition. Understanding these factors can help individuals make informed decisions about their lifestyle and treatment options.

How We Diagnose and Treat Hidradenitis?

Diagnosing HS can be challenging, as it often requires a clinical evaluation based on symptoms, physical examination, and medical history. There is no cure for HS, but various treatment approaches can help manage symptoms, reduce inflammation, and prevent complications.

At the hidradenitis instituted our philosophy involves active treatment of disease that has come back repeatedly despite antibiotic treatment and drainage procedures. Often this requires little more than a limited local excision of the affected area. Occasionally it requires a more extensive removal with reconstruction.

We favor one stage reconstruction without the use of skin grafts. We favor reconstruction and wound closure that does not affect areas outside the location of the hidradenitis. Whenever possible we perform excision and reconstruction that does not require either any additional surgical procedures or prolonged wound care to achieve a elimination of the hidradenitis with healing of all incisions.

Managing Hidradenitis: Lifestyle and Self-Care

In addition to medical treatments, individuals with HS can make lifestyle modifications and practice self-care to enhance symptom management. This may involve maintaining proper hygiene, avoiding tight clothing, managing weight, adopting a balanced diet, and implementing stress-reduction techniques. Our resources and guidance can provide valuable insights and tips to support individuals in managing HS effectively.

Hurley staging system

Staging for Classifying Hidradenitis Suppurativa (HS)

To effectively diagnose and manage Hidradenitis Suppurativa (HS), healthcare professionals often use a staging system to classify the severity and extent of the condition. Staging helps guide treatment decisions and allows for consistent communication between healthcare providers and patients. While different staging systems exist, the Hurley staging system is commonly used and widely recognized.

Stage I: Mild HS

In this stage, single or multiple isolated abscesses without sinus tracts or scarring are present. The lesions may be small, tender, and intermittent, typically appearing as red, swollen bumps or boils. The symptoms may not significantly impact daily activities at this stage.

Stage II: Moderate HS

In this stage, single or multiple isolated abscesses without sinus tracts or scarring are present. The lesions may be small, tender, and intermittent, typically appearing as red, swollen bumps or boils. The symptoms may not significantly impact daily activities at this stage.

Stage III: Severe HS

Stage III represents the most advanced and severe form of HS. It is characterized by widespread involvement of multiple interconnected sinus tracts, abscesses, and scarring. The lesions are chronic, painful, and often lead to significant physical and psychological distress. This stage can significantly impact a person’s quality of life and mobility.

Staging and Treatment

Staging helps guide treatment decisions for individuals with HS. Mild cases (Stage I) may be managed with conservative measures such as topical treatments, lifestyle modifications, and medications to control symptoms. Moderate to severe cases (Stage II and III) often require a more comprehensive approach, including systemic medications, surgical interventions, wound care, and lifestyle adjustments.

It is essential to consult with a healthcare professional experienced in HS management for an accurate staging assessment and personalized treatment plan. The appropriate treatment strategy depends on the stage, individual patient factors, and specific needs.

Remember, early diagnosis and intervention can help minimize disease progression and improve outcomes. If you suspect you have HS or have been diagnosed, promptly reach out to a healthcare professional for evaluation, staging assessment, and guidance on managing your condition.

Schedule a Consultation

If you or a loved one is seeking specialized care for Hidradenitis Suppurativa, we invite you to schedule a consultation with our team of experienced doctors. Together, we can work towards managing your condition effectively and improving your overall well-being.

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