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Hidradenitis suppurativa

Do you struggle with painful lumps and boils in your armpits, groin or other areas? It could be HS, also known as sweat gland inflammation.

Hidradenitis suppurativa (HS) is a chronic skin disease that causes painful, inflamed balls and boils in areas of sweat glands. Although the condition can be challenging to live with, there are effective treatment options that can provide relief and improve quality of life.

Read on to learn more

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What is hidradenitis suppurativa?

HS is an inflammatory condition that affects the hair follicles and sweat glands, usually in the armpits, groin, under the breasts or around the anus. The condition often starts in adolescence or early adulthood and is more common in women. Although the exact cause is unknown, it is believed to be a combination of factors, including genetics, hormones and the immune system.

Symptoms of HS (sweat gland inflammation)

Painful, red lumps or nodules under the skin
Boils that can burst and drain pus
Passages or tunnels under the skin
Scar formation

Who gets HS?

Hidradenitis is not an uncommon condition, affecting approximately 1% of the population. The condition often begins during puberty but can also occur up to the age of 40. Women are affected by the condition four times more frequently than men. Despite causing significant discomfort, it takes an average of 7-8 years from the onset of symptoms until a diagnosis is made, likely because many people perceive it as highly stigmatized. During this period, many individuals become unable to work, and for some, the disease leads to social isolation.

Causes

The exact causes of the disease are not fully understood, but it appears to have a hereditary component – up to 40% of individuals with the condition have multiple cases in their family. It likely also has a hormonal component, and some individuals experience worsening symptoms in relation to menstruation. The condition is more common and can be more severe in individuals who smoke or are overweight.

The condition is not caused by poor hygiene, and it is not contagious.

Prevention and management of HS

Quitting smoking is crucial as smoking leads to reduced blood circulation in the outer layers of the skin, and the body's ability to repair the damage is significantly weakened. If you are overweight, weight reduction can help alleviate symptoms.

It is advisable to wear loose-fitting clothing to avoid friction on the sores. Avoid hair removal and shaving as they can cause minor skin injuries. Do not squeeze or apply pressure on new nodules.

Gentle daily cleansing can reduce odour and prevent infection. Use a mild soap with a neutral pH. Alternatively, you can use chlorhexidine periodically.

Treatment

Treatment Options

While there is no cure, treatment can help:

Reduce discomfort and pain
Decrease the frequency of flare-ups
Prevent the disease from worsening (fistulas, scarring)

Treatment options:

Mild cases: Antibiotic cream during flare-ups
Moderate cases: Antibiotic tablets (tetracyclines) for several weeks, especially during infections or flare-ups
Moderate to severe cases: Evaluation by a dermatologist or plastic surgeon for early treatment and prevention of complications.
Surgery: Removal of affected skin area (traditional surgery or laser) may be appropriate, especially for smaller areas or recurring issues.
Biologic treatment: Can be considered for persistent flare-ups.

Important: Early treatment is crucial to prevent worsening and complications. Contact a doctor to discuss treatment options.

Book appointment

How can Dr.Dropin help?

At Dr. Dropin, we have Olav Gramstad, one of the few dermatologists in Norway, who treats HS with a laser.

You can book an appointment with Olav Gramstad directly in the booking process by following the link below.

In the first consultation, Olav will examine you and assess further treatment measures.

Book an appointment for the first consultationSe våre priser

Frequently asked questions

What is Hidradenitis Suppurativa (HS)?

HS, also known as acne inversa, is a chronic skin condition that causes painful bumps, abscesses, and inflammation in areas with sweat glands, such as the armpits and groin.

What are the symptoms of HS?

Symptoms include painful, red bumps under the skin, abscesses that may rupture and drain pus, and the formation of tunnels and scars under the skin.

What causes HS?

The exact cause is unknown, but it is thought to be a combination of factors such as genetics, hormones, inflammation, and an overactive immune system.

Who gets HS?

HS affects about 1% of the population and is more common in women than men. It often starts in adolescence or early adulthood.

How is HS diagnosed?

A dermatologist will usually diagnose HS based on your symptoms, medical history, and a physical examination of your skin.

Is there a cure for HS?

There is no cure for HS, but treatment can help manage symptoms, reduce flare-ups, and prevent complications.

How is HS treated?

Treatment depends on the severity of the condition and may include antibiotics, creams, biologic medications, surgery, or laser therapy.

Where can I get help with HS in Norway?

Dr. Dropin offers consultation and treatment for HS with Norway's most experienced dermatologists in the field. Book an appointment online today.

Is HS contagious?

No, HS is not contagious.