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Hidradenitis suppurativa

Hidradenitis suppurativa

 

Hidradenitis means inflammation of the sweat gland and Suppurativa means process of pus formation.

What is hidradenitis suppurativa?

It is a long term skin disease characterized by the occurrence of inflamed and swollen sweat glands. These are typically very painful and break open releasing fluid or pus.

 

The commonly affected areas are :
  • Underarms
  • Under the breasts
  • Groin
  • Hidranetis Suppurativa
What causes hidradenitis suppurativa?

The exact cause is unknown but a combination of genetic and environmental factors are responsible for the development of this condition. In many cases there is a affected family member.

Lesions are typically seen in areas with hair follicles , although areas such as axilla, groin and perianal region are commonly affected.

Triggering factors

Some of the triggering factors are :

  • Obesity
  • Tight clothing and clothing made of heavy non breathable material
  • Deodorants, shaving of the affected area
  • Drugs in particular OCPs
  • Hot and especially humid climate
How is the presentation of hidradenitis suppurativa?
Stage 1- there is development of multiple areas of inflammation and pus collection is seen under the skin. It is a very painful condition.
Stage 2- there is formation of multiple areas in which pus collects by formation of tracts.
Stage 3- along with pus collection and tract formation scarring take place.

 

Treatment

Allopathic treatment

In allopathy the basic line of treatment given is

  • Antibiotics
  • Corticosteroid injections
  • Intravenous or subcutaneous infusion of anti-inflammatory drugs
  • Tnf inhibitors

Surgery – in chronic cases  surgical excision is the procedure of choice

 

Homoeopathic treatment

When homoeopathic treatment is given the main aim is to reduce the agony of the patient. As it is rightly said that homoeopathy removes the disease from its root cause as in homoeopathy the person as a whole is treated not just the disease. All the symptoms are taken into consideration while case taking. When the entire case is taken the constitutional medicines are prescribed.

 

Case study

 

A 48yr old female came to our clinic with the complaint of recurrent hidradenitis suppurativa in the right axilla since October 2018. She had consulted a number of dermatologists wherein there was surgical drainage of the abscess and was advised to continue dressing for 2 months. But there was no respite, her condition remained the same post the dressing with no change in the abscess. There were repeated courses of antibiotics but had no impact.  She was in much distress.

On recommendations from her friends, she visited our clinic for the very first time in March 2019. There was much oozing of pus from the abscess. The area was quite tender. She refused to allow us to examine the abscess as it was paining.  While narrating her complaint she even cried as she feared there was no cure to her disease

So as the case taking progressed we got to know that she had a similar abscess many years back which was healed completely after the surgery.

Her father had tuberculosis. There was no history of diabetes running in the family.

Her appetite and thirst were normal. There was no problem during the passing of urine and stool. While eating she desired to have salty food.

On complete case taking, the case was analyzed and a constitutional remedy was given.

On her second visit, the pain was slightly better and oozing of pus was also better, and hence with gradual improvements, significant results had been observed.

 

Contact Dr Rashmi Chandwani here.