Hidradenitis suppurativa (HS) is a chronic, recurrent, and inflammatory skin disease that primarily affects the hair follicle-bearing areas of the body, including the axillae, groin, perianal and inframammary regions. The clinical features of HS include:
- Painful and inflamed nodules: These are the hallmark of HS and usually occur in the affected areas of the skin. The nodules are usually firm, painful, and tender and can be red or purplish in color.
- Abscess formation: The nodules can develop into abscesses, which are collections of pus surrounded by inflamed tissue.
- Draining tunnels and scarring: Over time, the nodules/abscesses can break down and form tunnels, which are channels under the skin that can become infected. Scarring can also occur in the affected areas.
- Foul odor: The abscesses and draining tunnels can emit a foul odor, which can be embarrassing and distressing for the person with HS.
- Impact on daily life: HS can be physically, emotionally, and socially debilitating, as it can cause chronic pain, restrict movement, and lead to scarring and disfigurement, as well as affect personal relationships, work, and self-esteem
It is important to note that these symptoms can vary in severity, and the course of the disease is unpredictable. Early diagnosis and treatment are essential to manage the symptoms and prevent progression to more severe forms of HS.
