Hidradenitis: causes of the disease, main symptoms, treatment and prevention

Published At: 31 December 2019 , 11:08 AM

An inflammatory disease characterized by purulent inflammation of the sweat glands. The sweat glands of the armpits, less often the inguinal folds, the area near the nipples, scrotum, anus and the area near the labia majora are usually affected.

Causes of Hidradenitis

The causative agent of the disease is Staphylococcus aureus. The provoking factors include decreased immunity, increased sweating, obesity, micro-injuries of these areas obtained by shaving, scratching, non-observance of personal hygiene rules, endocrinological disorders, for example, diabetes mellitus, impaired function of the sex glands. Women suffer from hidradenitis several times more often than men. In older people, this pathology practically does not occur; this is due to age-related changes in the sweat glands.

Symptoms of Hidradenitis

In the thickness of the skin, dense small nodes are formed, painful on palpation. Over time, there is an increase in such nodes, their soldering with a skin area and bulging in the form of nipples, such formations have the shape of an "udder". Pain in the affected area intensifies, the skin above the nodes becomes blue, swelling appears. With hidradenitis, the formation of a necrotic stem is not characteristic. The patient also has symptoms of general intoxication: general weakness, fever.

Diagnosis of hidradenitis

An analysis of the medical history carried out, and the patient is examined and questioned, palpation of the affected areas performed. It is necessary to conduct differential diagnostics to exclude furunculosis, colligative tuberculosis. Diagnosis usually based on a characteristic clinical picture.

Hidradenitis Treatment

At the initial stage of the disease, ultrasound therapy, UHF rays, ultraviolet treatment, "cakes" of pure ichthyol used for treatment purposes. The use of these methods aimed at preventing the maturation of hidradenitis. In case of complications of the course of the disease, with the formation of abscesses, the patient needs surgical treatment.

The patient is given novocaine blockades: hidradenitis is injected with a 0.5-1% solution of novocaine with an antibiotic, for example, TetracyclineErythromycinCephalexin. This treatment tactic is appropriate for severe pain, as well as the presence of infiltrates. In the case of repeated relapses of hidradenitis, a staphylococcal vaccine needed.

Hidradenitis Prevention

The main methods of prevention are to observe hygiene rules and standards: daily showering with soap, and, if necessary, treatment of axillary cavities with disinfectants.