Hidradenitis Suppurativa (Abnormal Acne)

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Hidradenitis Suppurativa
Overview

What Is Suppurative Sweat Gland Inflammation

Is suppurative sweat gland inflammation how to return a responsibility?

Purulent sweat gland inflammation, also known as abnormal acne, used to refer to a purulent disease involving sweat glands, but the current research believes that it is actually a hair follicle occlusive disease.

It is mainly characterized by painful inflammatory nodules, acne, sinus tract and cicatrix formation, and often involves the intercostal areas such as the axilla, groin, perianal and perineum, and the lower breast area.

Is purulent sweat gland inflammation common?

The disease is not uncommon, and the prevalence rate is about 1%–4%, mainly among teenagers. Women are more common.

Cause

What Is The Cause Of Pyogenic Sweat Gland Inflammation

What is the cause of pyogenic sweat gland inflammation

The pathogenesis of the disease is not known, but occlusion of hair follicles is currently considered the primary cause of the disease. Because of the occlusion of hair follicles, the hair follicle ducts gradually expand and eventually rupture, and various inflammatory cells gather and stem cell proliferation, finally leading to the occurrence of suppurative sweat gland inflammation.

Genetic factors, increased friction, bacterial infection, obesity, smoking, diet, hormones and other factors also have an important relationship with the occurrence and aggravation of suppurative sweat gland inflammation.

Suppurative sweat gland inflammation is common in which crowd?

  • Genetic susceptibility is considered to be an important factor in suppurative sweat gland inflammation. The disease is more likely to occur in the lineal relatives with pyogenic sweat gland inflammation;
  • Patients with metabolic syndrome (including obesity, diabetes, hyperlipidemia, and hypertension) were more likely to suffer from suppurative sweat gland inflammation than normal people;
  • Smoking may be the inducing factor of suppurative sweat gland inflammation, and the incidence rate and disease severity of smokers are high.

Can purulent sweat gland inflammation pass on?

The current research shows that purulent sweat gland inflammation has a genetic susceptibility gene, which is likely to be inherited. The study also found that the disease was more likely to occur in the lineal relatives with purulent sweat gland inflammation.

Symptom

What Symptom Does Purulent Sweat Gland Inflammation Have

What are the common manifestations of purulent sweat gland inflammation?

Purulent sweat gland inflammation can be manifested as inflammatory nodules, acne, sinus tract, scar, etc.;

  • Inflammatory nodules are the first manifestation, often accompanied by pain, which often develop into abscesses with further ulceration and secretion of purulent fluid;
  • Acne is more open acne, and often double or long acne;
  • Sinus tract is a typical manifestation of suppurative sweat gland inflammation, which often secretes various hemorrhagic or purulent secretions.
  • Scars can be atrophic or hyperplastic, as they appear after the inflammation has healed.

Suppurative sweat gland inflammation often happens in which part?

Purulent sweat gland inflammation mainly occurs in the area between the wipe, including axillary, groin, perianal and perineum, breast and breast area below, scalp and ear, belt shoulder belt friction parts, etc.

What consequence can suppurative sweat gland inflammation cause?

First of all, purulent sweat gland inflammation seriously affects the appearance of the skin; Secondly, because the disease is often accompanied by different degrees of pain, it is possible to repeatedly excrete bloody or purulent secretions, accompanied by different degrees of odor, which will seriously affect the quality of life and social interaction of patients and may further cause patients to be prone to inferiority complex, depression and other psychological.

Detect

How To Check Whether Have Purulent Sweat Gland Inflammation

Suppurative sweat gland inflammation, what check needs to do to diagnose?

The diagnosis of suppurative sweat gland inflammation mainly depends on the patient's medical history and clinical manifestations. Therefore, our dermatologists are most concerned with the rash on her skin and the medical history provided by her.

Generally to diagnose suppurative sweat gland inflammation does not need to do special examination. However, when the diagnosis is uncertain, we may also need to perform a skin biopsy to confirm the diagnosis. When special bacterial infection is suspected, tests such as bacterial culture are required.

What precautions does pyogenic sweat gland inflammation do afore-mentioned check have?

  • Skin biopsy: this is an invasive examination requiring surgical removal of a small piece of skin tissue for pathological testing, and stitches and regular dressing changes followed by stitches removal after surgery. About 1 week to issue the results.
  • Bacterial culture: A sterile cotton swab is used to take some of the rash's secretions and the results can be seen in about 5 days.

Which diseases are easily confused with pyogenic sweat gland inflammation?

  • Acne vulgaris: Acne vulgaris is more common on the face and chest and back, and the rash can be acne, papule, nodule, scar, etc., but sinus tract is less common. The purulent sweat gland inflammation often involves the intercostal space, and the sinus tract is often the typical skin manifestation.
  • Furuncle/carbuncle: It is a disease caused by inflammation of hair follicles, and the progression from involving one hair follicle to nodular abscess is called furuncle, and the involvement of several hair follicles is called carbuncle, which generally does not present with acne and sinus tract. The suppurative sweat gland inflammation is a hair follicle occlusive disease, and acne and sinus tract are more common.
Prevention

How To Prevent Suppurative Sweat Gland Inflammation

Can purulent sweat gland inflammation prevent? How?

Purulent sweat gland inflammation can be prevented to a certain extent, it is recommended to do the following:

  • Control of body weight;
  • Quit smoking and drinking;
  • Control hypertension, hyperlipidemia, diabetes and other basic diseases.

How does purulent sweat gland inflammation patient prevent to appear serious complication?

Seek medical advice timely once appearing, and actively carry out treatment.

Early diseases are relatively mild and can be well improved through regular treatment. Many patients with serious complications are delayed due to non-treatment or wrong and non-standard treatment.

Treatment

How To Treat Suppurative Sweat Gland Inflammation

Which branch should suppurative sweat gland inflammation see?

Dermatological visit.

How should suppurative sweat gland inflammation treat?

First of all, to do a good job in patient education:

  • Wear loose clothing to avoid tight clothing and excessive friction.
  • Smoking cessation is recommended as more and more studies show an increased incidence and disease severity among smokers.
  • Control your weight.
  • Actively control basic diseases such as hypertension, hyperlipidemia and hyperglycemia.

Treatment emphasizes individualized treatment, and the treatment varies according to the severity of the disease:

  • For milder patients, external medications such as clindamycin and resorcinol can be used.
  • Tetracyclines such as doxycycline or minocycline can be added to patients with more severe inflammation.
  • Severe patients may also need to take oral vitamin A acid drugs such as isovitamin A acid, avila, etc.
  • For severe refractory suppurative sweat gland inflammation, biological preparations such as adalimumab and infliximab can be used.
  • For those with already formed sinus tract and nodule, the whole affected area can be resected by surgery.
  • Now, phototherapy such as using Nd: YAG laser and photodynamic therapy can also help to improve the condition.

However, we all recommend that patients should go to regular hospitals for treatment under the guidance of professional doctors and have regular follow-up. We cannot believe the so-called publicity of Dr. X in the street, nor can we trust any miracle drug.

What are the possible adverse reactions of the drugs for suppurative sweat gland inflammation?

  • Topical medication is relatively safe, and the possible adverse reaction is allergy to ointment, resulting in burning sensation, swelling and other symptoms.
  • Oral drugs may have more adverse effects. For example, tetracyclines may irritate the gastrointestinal tract to a certain extent and may cause dizziness and headache. Vitamin A acid drugs, will increase the sensitivity to ultraviolet light, easy to appear dry skin and cheilitis, need to regularly check the liver function and blood fat, and need to contraception in a certain period of time; Biological agents, may cause increased risk of infection. Therefore, the choice of medication needs to be evaluated and guided by a professional physician.

Can purulent sweat gland inflammation cure?

Pyogenic sweat gland inflammation can be treated, early diagnosis and active treatment of patients can basically be very effective control, but the treatment of severe and refractory patients is difficult, in addition to oral and external drugs, also need to cooperate with the use of surgery, laser and other treatments.

Life

What Should Suppurative Sweat Gland Inflammation Patient Notice In Life

What should suppurative sweat gland inflammation patient notice on food?

Patients with suppurative sweat gland inflammation should pay attention to reduce the intake of spicy stimulation and greasy dessert on diet, and try to quit smoking and drinking.

What should suppurative sweat gland inflammation patient notice in life?

  • Wear loose clothing to avoid tight clothing and excessive friction.
  • Avoid using a washcloth or brush when taking a bath.
  • Smoking cessation is recommended as more and more studies show an increased incidence and disease severity among smokers.
  • Control your weight because there's a clear link between obesity and disease.
  • Actively control basic diseases such as hypertension, hyperlipidemia and hyperglycemia.

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