I'm lucky. Mine is "mild" compared to most. Nonetheless, it's no fun. In 1985, I saw a doctor because of it. She told me to use white Dial soap and to lose weight. At that time, I hadn't gained very much weight. Yes, 25 years ago. And I'd had other symptoms of Cushing's, also, long before then.
HS symptoms were first described in 1839 by Velpeau when a patient presented with superficial abscesses in the axillary, breast, and perianal regions. In 1854, Verneuil associated the condition with the apocrine glands, and the condition was given its current name, although for many years, the process was referred to as Verneuil disease.
- Stage 1 – solitary or multiple, isolated abscess formation without scarring or sinus tracts
- Stage 2 – recurrent abscesses, single or multiple widely separated lesions, with sinus tract formation
- Stage 3 – diffuse or broad involvement, with multiple interconnected sinus tracts and abscesses.
- Good hygiene with ordinary soap.
- Wear loose fitting clothing to avoid friction.
- Topical or oral antibiotics similar to those used for treatment of acne in higher doses.
- Incision and drainage of abscesses – at the very painful pointing stage.
- Persistent hidradenitis lumps may be excised after several months of conservative treatment (i.e. waiting and/or antibiotics).
- Radical excisional surgery is reserved for very severe cases of hidradenitis suppurativa.
- Carbon dioxide laser ablation has been proposed as a better alternative to removal of glandular and scar tissue. The wound is left open to heal by secondary intention.
Hidradenitis Suppurativa: A Clinician's Tool for Early Diagnosis and Treatment; Beshara, Monica A.; Advances in Skin & Wound Care. 23(7):328-332, July 2010; doi: 10.1097/01.ASW.0000363559.53350.84
Hidradenitis suppurativa – Mayo Clinic