Hidradenitis suppurativa (HS), also known as acne inversa, is a chronic skin condition characterized by the development of painful, inflamed lesions in areas of the body where skin rubs together, such as the armpits, groin, buttocks, and under the breasts. These lesions start as small, red bumps or nodules and can progress to painful abscesses, deep-seated lumps, and even sinus tracts (tunnels under the skin).

The exact cause of Hidradenitis Suppurativa is not clear but is believed to be a combination of factors, including:

• Blockage of hair follicles: Hair follicles become blocked, leading to inflammation and the formation of lesions.
• Immune system dysfunction: Dysfunction of the immune system may play a role in the development and progression of HS.
• Hormonal factors: Hormonal changes may contribute to the development or worsening of HS, as the condition often worsens during puberty and may improve after menopause.
• Genetic predisposition: There appears to be a genetic component to hidradenitis suppurativa, as it often runs in families.

Imagine living with constant discomfort and the potential for painful flare-ups. That's the reality for people with HS. Dealing with HS can be challenging both physically and emotionally. The pain, discomfort, and embarrassment associated with the condition can take a toll on one's quality of life. It can affect daily activities, relationships, and self-esteem, leading to emotional distress and isolation for many individuals.

Hidradenitis Suppurativa (HS) can be a frustrating condition, and there's a lot of misinformation out there. Let's do some myth busting of HS:

• Myth #1: HS is caused by poor hygiene. This is simply not true! In fact, many people with HS wash frequently, sometimes even excessively.
• Myth #2: Smoking causes HS. Previous studies showed a potential link which has now been mostly dispelled. Typically when people first see signs of the condition, they are in their teenage years and often not smoking in this day and age.
• Myth #3: Obesity causes HS. Obesity might worsen symptoms due to increased skin friction, but it's not likely the root cause. It's hard to say which comes first: HS making exercise difficult leading to weight gain, or vice versa. There's also no evidence that specific foods trigger HS flare-ups. In fact, a whole food diet is generally recommended.

Treatment for HS focuses on managing symptoms, reducing inflammation, preventing infections, and promoting healing.

Here are the main treatment options:

• Topical Treatments: These include antibacterial washes, topical antibiotics, and corticosteroids applied directly to the affected skin to reduce inflammation and control infections.
• Oral Medications: Doctors may prescribe oral antibiotics, hormonal therapies (like birth control pills), or immunosuppressive drugs to manage symptoms and inflammation throughout the body.
• Biologic Therapies: In severe cases, biologic medications targeting specific immune system pathways may be used to control inflammation. These are usually given through injections.
• Surgical Procedures: For persistent or severe cases, surgical options like draining abscesses, removing affected tissue, or addressing sinus tracts may be necessary for symptom relief and prevention of recurrence.

If you suspect you have HS or have been diagnosed, it's important to see a dermatologist or healthcare provider. They can assess your condition, provide a proper diagnosis, and recommend treatment options. Regular follow-ups and adjustments to the treatment plan may be needed for optimal results. Living with HS can feel overwhelming at times, but remember, you are not alone. Seek support from friends, family, support groups, or online communities dedicated to HS.

For more information on HS, check out the Hidradenitis Suppurativa Foundation and other reliable sources for valuable information and resources.

Ready to separate fact from fiction about Hidradenitis Suppurativa? Join Dr. Sayed and me on this week's podcast episode as we uncover the truth behind common misconceptions and discuss effective treatment options!

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