Hidradenitis Suppurativa

Boise - Caldwell

Hidradenitis Suppurativa

Hidradenitis suppurativa are small, painful lumps that result from skin rubbing in areas like the buttocks, groin, breast, and armpits. The lumps can take a long time to heal. They then recur and cause tunnels and scarring under the skin.

The condition usually starts during puberty and can persist for many years, worsening over time. It can lead to severe effects on your daily life and well-being.

What Are the Symptoms of Hidradenitis Suppurativa?

Hidradenitis suppurativa can affect several areas of the body. The symptoms include:

  • Blackheads: These appear in pairs, usually in small pitted areas of skin.
  • Leaking bumps or sores: Some bumps or sores become bigger, break open, and drain foul-smelling pus.
  • Small, painful lumps: You will notice a single, painful lump beneath the skin. It persists for weeks or months, with several others forming later. These worsen when you have more sweat and oil glands.
  • Tunnels: These may form underneath the skin, connecting the lumps with time. They heal very slowly.

Causes of and Risk Factors for Hidradenitis Suppurativa

This condition commonly occurs when hair follicles experience blockage, though the exact reason for this is not medically proven yet. Experts suspect it could happen because of cigarette smoking, genetic predisposition, hormones, or excess weight, but not because of uncleanliness.

Risk factors include:

  • Being in the age bracket of 20 to 30 years
  • Being female
  • Family history
  • Race and ethnicity
  • Smoking
  • Conditions like arthritis, obesity, acne, inflammatory bowel disease, and metabolic syndrome

What are the Complications of Hidradenitis Suppurativa?

When Hidradenitis suppurativa is persistent, it can lead to:

  • Restricted movement
  • Infection
  • Scars and skin changes
  • Skin cancer
  • Swelling in the genitals, legs, or arms
  • Psychological effects and social isolation

Can Hidradenitis Suppurativa be Prevented?

The exact cause of the condition is still being studied, meaning there's no known way to prevent it. However, they recommend doing the following to reduce the symptoms

  • Wear loose-fitting clothes
  • Take warm baths
  • Don't shave affected areas
  • Maintain a healthy weight
  • Avoid smoking
  • Clean the affected areas with antibacterial soap regularly.

What Treatment is Recommended for Hidradenitis Suppurativa?

While there's no known cure for the condition, early diagnosis and treatment can prevent its progression. Medications like antibiotics, corticosteroids, adalimumab, and retinoids could potentially offer some relief. In severe cases, surgical procedures may be necessary. These include:

  • Deroofing to turn breakouts into scar tissue
  • Excision and skin grafting
  • Draining abscesses to provide relief

Call to Schedule an Appointment with a Boise Surgeon Specializing in Hidradenitis Suppurativa

If you have the symptoms of a hidradenitis suppurativa and are interested in the powerful treatments available, consider scheduling a consultation with an experienced general surgeon like Dr. Daniel Gay, who has successfully performed hundreds minor operations with great results. He offers individualized attention to all of his patients while emphasizing health education. Submit a contact form or call (208) 321-4790 today to make an appointment!

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May 6, 2024 - I was scheduled for robotic hernia removal. With a previous bariatric surgery, it was a concern because of all the scar tissue The surgery could not be robotically because my colon was so badly twisted that he had to untwist my colon as well repairing the hernia. I am so impressed with Dr. Gay's thoroughness and his focus on all detail He Tells you upfront the truth - no sugar coating. He is easy to talk to, personable and always a smile for you. I highly recommend Dr. Gay
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I was completely impressed by Dr. Gay and his team. They were professional, friendly, kind and helpful. Could not have been happier!
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The doctor and all the staff were awesome. Very professional, great communication. Super attentive.
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Surgery went well and healing is making good progress. Dr Gay and his staff wer courteous, professional and informative through out the entire experience. I have great confidence in recommending Dr Gay and would not hesitate to return to his practice if ever the need should arise again.
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I highly recommend Dr Daniel Gay. I had experienced gallbladder issues for a very long time. Dr Gay diagnosed and we had planned for surgery, but I had a severe gallbladder attack soon after our consultation. Dr Gay went above and beyond to fit me in and perform surgery outside of normal business hours. Thank you kindly, KB
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Dr. Gay and his team provided an exceptional experience from the moment I walked into their office. Dr. Gay himself was not only highly professional but also very personable.
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Pre and post surgical visits were concise, clear, pragmatic and good education for my bilateral hernia robotic repair.
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Dr. Daniel Gay, Member of the Independent Doctors of Idaho