Hidradenitis Suppurativa (HS) is an inflammatory condition that can occur in both men and women, and most commonly affects the axilla (armpit) and groin region (hair bearing areas). It can also appear on the breast. HS generally involves painful, red, nodular lesions that may drain fluid and form persistent fistulae (connection from deeper tissue to outside world). In the past, we would perform large surgical excisions of these lesions that would often result in wound breakdown, significant scarring and mobility issues, and recurrence.
Now, we have learned this disease is more inflammatory in nature. Symptoms can be treated with steroid injections into the specific area of concern, and more severe cases can be treated with oral or intravenous medication.
