Sushruta Clinic - Hydradenitis Suppurativa

Hidradenitis suppurativa is rare, long-term skin condition that features small, painful lumps under the skin. They typically develop where the skin rubs together, such as the armpits, the groin, between the buttocks and under the breasts. The lumps may break open and smell or cause tunnels under the skin. Hidradenitis suppurativa tends to start after puberty. It can persist for many years and worsen over time, with serious effects on your daily life and emotional well-being. Early diagnosis and treatment can help manage the symptoms, keep new lumps from forming and prevent complications, such as scarring or depression.

Causes :-

Hidradenitis suppurativa develops when hair follicles become blocked and inflamed. No one knows exactly why this blockage occurs. Factors that may play a role include hormones, metabolic syndrome, genetics, an irregular immune system response, smoking and excess weight.

Hidradentitis suppurativa is not caused by an infection and can’t be transmitted sexually. It’s not contagious and is not due to poor hygiene.

Symptoms :-

Hidradenitis suppurativa commonly occurs around hair follicles with many oil and sweat glands, such as in the armpits, groin and anal area. It may also occur where skin rubs together, such as the inner thighs, under the breasts and between the buttocks. Hidradenitis suppurativa can affect one spot or multiple areas of the body.

Signs and symptoms of hidradenitis suppurativa include:

• Blackheads. Small pitted areas of skin containing blackheads — often appearing in pairs or a “double-barreled” pattern — are a common feature.
• Red, tender bumps. These bumps often enlarge, break open and drain pus. The drainage may have an odor. Itching and burning may accompany the bumps. They usually appear in areas where skin rubs against skin.
• Painful, pea-sized lumps. These hard lumps, which develop under the skin, may persist for years, enlarge and become inflamed.
• Tunnels. Over time, tracts connecting the lumps may form under the skin. These wounds heal very slowly, if at all, and can leak pus.

Hidradenitis suppurativa usually starts between puberty and age 40 with a single, painful bump that persists for weeks or months. For some people, the disease progressively worsens and affects multiple areas of their body. Other people experience only mild symptoms. Excess weight, stress, hormonal changes, heat or humidity can worsen symptoms. In women, the disease severity may lessen after menopause.

Kshar Sutra Ayurvedic Treatment of Hidradenitis suppurativa :-

The role of kshar sutra in the management of hidradenitis suppurativa is excellent. So for as 7 cases treated by us by kshar sutra who were suffering from hidradenitis suppurativa of perineal, gluteal & groin region in that 6 patients were male and 1 patient were female. on probing multipe sinuses and fistulus tracts were found. kshar sutra applied in all the sinuses and fistulus tract.Change of kshar sutra have been conducted till all the sinuses and fistulus tract of hidradenitis suppurativa disappear. Recovery times in thease cases was 4-6 months according to severity of the disease. 3-5 year post operative review did not show any type of complications in any patients.