Hidradenitis Suppurativa Treatment
Hidradenitis suppurativa, often abbreviated as HS, is a chronic skin condition characterized by painful lumps, abscesses and tunnels that form under the skin. It typically affects areas of the body where skin rubs together, such as the armpits, groin, buttocks and under the breasts.
While the exact cause of HS is not fully understood, it is believed to involve a combination of genetic and environmental factors. Factors such as hormonal imbalances, obesity, smoking and a family history of HS can contribute to its development.
Dr. Erez Dayan at Avance Plastic Surgery Institute offers hidradenitis suppurativa treatment, including surgical and non-surgical options, at our medical clinic in Reno/Tahoe, NV.
How is Hidradenitis Suppurativa Diagnosed?
Diagnosing hidradenitis suppurativa (HS) often begins with a thorough physical examination. During this examination, Dr. Dayan assesses the affected areas for characteristic signs such as painful lumps or nodules under the skin, which are often inflamed and tender to the touch. He may also look for abscesses that can form and may eventually rupture, releasing pus and causing further discomfort. Additionally, the presence of tunnel-like tracts under the skin, known as sinus tracts, is a hallmark feature of HS and aids in its diagnosis.
In addition to the physical exam, diagnostic tests such as skin biopsies may be performed to confirm the diagnosis of HS and rule out other conditions that may present with similar symptoms. A skin biopsy involves taking a small sample of tissue from an affected area and examining it under a microscope to identify characteristic features of HS, such as inflammatory changes in the skin layers and the presence of immune cells. The most common symptoms of HS include:
- Painful lumps or nodules under the skin: HS often presents with painful, tender lumps or nodules beneath the skin’s surface. These lumps can vary in size and may be accompanied by redness and swelling. The pain can range from mild discomfort to severe tenderness, making movement and daily activities challenging.
- Abscesses that may rupture and leak pus: As HS progresses, the painful nodules can develop into abscesses, which are swollen and inflamed areas filled with pus. These abscesses can cause significant pain and discomfort.
- Tunnel-like tracts under the skin: One of the distinctive features of HS is the formation of tunnel-like tracts, also known as sinus tracts or fistulas, beneath the skin’s surface. These tracts connect affected areas, creating a network of channels through which fluid, pus and bacteria can travel. The presence of these tracts contributes to the chronic and recurrent nature of HS flare-ups.
- Pain, itching, and inflammation in affected areas: HS-affected areas are characterized by ongoing pain, discomfort and inflammation. Due to the inflammatory response, the skin may appear red, swollen and warm to the touch. Itching can also occur, adding to the overall discomfort experienced by individuals with HS.
- Recurrent flare-ups and chronic discomfort: HS is known for its recurrent nature, with periods of flare-ups followed by periods of relative calm (remission). Flare-ups can be triggered by various factors such as friction, hormonal changes, stress and infections. Chronic discomfort is a significant challenge for individuals with HS, impacting their quality of life and requiring ongoing management strategies.
Comprehensive Approach to Managing Hidradenitis Suppurativa (HS): Lifestyle, Medications, and Surgical Options
Managing hidradenitis suppurativa (HS) requires a comprehensive and proactive approach that encompasses various aspects of treatment and care. Lifestyle modifications are fundamental in managing HS, with practices such as maintaining good hygiene, including regular cleansing of affected areas with gentle soap and avoiding tight clothing that may cause friction and irritation. Patients are often advised to opt for loose-fitting clothing made from breathable fabrics to minimize discomfort and promote airflow to affected areas. Furthermore, identifying and avoiding triggers that can worsen HS symptoms, such as smoking or excessive heat and humidity, is crucial for symptom management and overall well-being.
Medical interventions play a significant role in managing HS symptoms. Dr. Dayan may prescribe medications tailored to individual needs, such as antibiotics, to target bacterial infections commonly associated with HS. Corticosteroids may be prescribed to reduce inflammation and alleviate pain during flare-ups. Biologic medications, which target specific components of the immune system, are increasingly used and have shown promising results in managing HS symptoms in some patients. These medications work by modulating immune responses, thereby reducing inflammation and preventing the formation of new lesions.
For individuals with severe or persistent HS, surgical interventions may be necessary to address specific issues. Dr. Dayan may recommend procedures such as drainage of abscesses, excision of affected tissue or laser therapy. These interventions aim to alleviate pain, promote healing, and prevent recurrent flare-ups.
Comprehensive Hidradenitis Suppurativa Treatment at Avance Plastic Surgery Institute
At Avance Plastic Surgery Institute in Reno/Tahoe, NV, we understand the impact that HS can have on your quality of life. That’s why we offer a range of advanced treatment options tailored to address each individual’s unique needs. From innovative medical therapies to surgical interventions, our experienced team, led by Dr. Erez Dayan, is dedicated to providing compassionate and effective care for HS patients.
During your visit, Dr. Dayan will conduct a thorough evaluation to assess the severity of your condition and discuss your treatment goals. Together, we will develop a personalized treatment plan that may include medications to manage symptoms, surgical procedures for severe cases, and lifestyle recommendations to support your overall well-being.
Don’t let hidradenitis suppurativa hold you back from living your life to the fullest. Take the first step towards relief by scheduling a consultation with us at Avance Plastic Surgery Institute. We are here to guide you through your HS journey and help you achieve lasting improvement in your skin health and comfort.
