Hidradenitis Suppurativa

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What is Hidradenitis Suppurativa?

Hidradenitis Suppurativa, also known as HS, is an incurable condition characterized by swollen, painful, inflamed lesions in areas that contain apocrine glands. These areas include the groin, underarms, neck, chest, and back of the knee but the disease can occur in other places as well. The disease is NOT contagious but it is recurrent, meaning that it never fully goes away and the lesions come and go. It usually begins as a single, boil-like, pus-filled abscess and progresses overtime to painful, chronically inflamed clusters of lesions involving significant dark scarring.

Abscesses may be as large as baseballs in some people, are extremely painful to the touch and may persist for years with occasional to frequent periods of inflammation, culminating in drainage, often leaving open wounds that will not heal. These "flare-ups" are often triggered by stress, hormonal changes, or humid heat. Drainage of the lumps provides some relief from severe, often debilitating, pressure pain; however, pain occurs 24 hours a day, 7 days a week for HS sufferers during flare-ups, and is difficult to manage.

Persistent lesions may lead to the formation of sinus tracts, or tunnels connecting the abscesses under the skin. At this stage, complete healing is usually not possible, and progression of the disease in the area is inevitable. Occurrences of bacterial infections and cellulites (deep tissue inflammation) are likely at these sites.

Because of the drainage which may have a foul odor, fever and fatigue caused by acute inflammation and the physical restrictions caused by pain and skin deformation, people often cannot work, drive, exercise or even perform day-to-day tasks, and are ashamed to go out in public. HS sufferers may go through severe bouts of depression, avoid public and inter-personal contact, become sedentary and often overweight.

HS typically goes undiagnosed for years because patients are ashamed to speak with anyone. When they do see a doctor, the disease is frequently misdiagnosed. Only relatively few physicians are able to recognize it and even when they do, suggested treatments are often ineffective, temporary and sometimes even harmful. There is no known cure nor any consistently effective treatment; what works for one person may not work for another. In advanced, chronic cases, surgery is often the choice, but recurrences of HS are not uncommon.

Source: HS-USA - What is HS?

Hidradenitis Suppurativa Misdiagnoses

HS is Commonly Misdiagnosed

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Hidradenitis Suppurativa is Commonly Misdiagnosed as one of these conditions:
  • Folliculitis
  • Acne
  • Boils
  • Cysts (sebaceous, inclusion and subcutaneous)
  • Furuncles
  • Carbuncles
  • Poor Hygiene
  • Herpes

Hidradenitis Suppurativa Symptoms

Common Signs and Symptoms

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Signs and symptoms of hidradenitis suppurativa include:
  • Blackheads. Small pitted areas of skin containing blackheads, often appearing in pairs or a "double-barreled" pattern.
  • Red, tender bumps. These bumps, or lesions, often enlarge, break open and drain pus. The drainage may have an unpleasant odor. Itching, burning and excessive sweating may accompany the bumps.
  • Painful, pea-sized lumps. These hard lumps, which develop under the skin, may persist for years, enlarge and become inflamed.
  • Leaking bumps or sores. These open wounds heal very slowly, if at all, often leading to scarring and the development of tunnels under the skin.

My Hidradenitis Suppurativa Story

HS started for me when I was about 14 years old. I randomly started to get painful bumps in my groin area. I was a virgin so I knew it wasn't an STD but I couldn't figure out what it possibly could be. My family didn't have health insurance so I couldn't visit a doctor and honestly, I was too embarrassed to tell anyone anyway. I was overweight so I dismissed it as a "weight thing" and hoped it would just go away. Over the years, it came and went and luckily it was mostly dormant until I graduated high school.

After high school, my HS came back in full force. Instead of being only in my groin, it was also in my armpits and under my breasts. This made for much more pain. At times, it was so painful that I couldn't lift or move my arms. At this point, I still didn't know what it was called or why I was being punished by this horrible disease. At this point, I had health insurance but didn't have a regular doctor and also couldn't afford the deductibles anyway. I started to make the connection between stress and more bumps so I started learning ways to reduce stress and that seemed to help. It wasn't until I was getting married that my HS got really bad. Luckily, the bumps went down and laid dormant for awhile after the wedding.

"I can't remember exactly when, how or what I was searching for but I stumbled upon information about Hidradenitis Suppurativa. Reading through the symptoms, I just KNEW that I had HS. I joined some support groups and found that I was not alone.


Unfortunately, we had a very rough first few months of marriage. We were very much in love however my husband lost his job. We were without an income for awhile and then when he did find a job, it was part time and seasonal. Luckily his sister moved in and with what she paid toward the rent and bills, she helped us stay afloat. While this was going on, I was desperately searching for WHY I had these bumps and what I could do to get them to go away.

Over and over again, I kept coming to pages about folliculitis, boils, furuncles, etc. I knew deep down that none of those things were what I had. I kept searching until one day when I finally found what I was looking for. I can't remember when, how or what I was searching but I stumbled upon some information about a disease called Hidradenitis Suppurativa. Reading through the symptoms, I just KNEW that I had HS. I joined a few support groups and found that I was not alone. Finally, I had a group of people who knew exactly what I was going through and exactly how much pain I had to endure.

Suddenly, a huge weight was lifted from my shoulders. I now knew what the disease was called and I could treat it. Unfortunately, that's when I found that HS is not curable. I can treat it but there's no guarantee that any of the treatments I try will work. To date, I have tried Zinc supplements, Turmeric and stress reduction. These 3 things do seem to keep my HS in check but there are many HS sufferers for whom these treatments do not work. These people sadly are told that surgery is their only option. The affected areas are cut open and the sweat glands are removed and/or the roots of the HS bumps are removed. This surgery is often times successful at first but many times HS shows up again at some point.

Hidradenitis Suppurativa Videos

Hidradenitis Suppurativa aka HS Awareness
by lyndahpizarro1 | video info

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Hidradenitis Suppurativa Awareness

Support HS Awareness by purchasing HS products. Any proceeds made from this lens will be personally donated to HS-USA, a Hidradenitis Suppurativa charity.

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Do you have HS?

Hidradenitis Suppurativa
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Share Your HS Story

When did you find out you had HS? What treatments have you tried? How do you deal with the pain in your everyday life?

  • anon Mar 15, 2012 @ 1:38 pm | delete
    I've suffered with HS for 30 years. After being misdiagnosed many times, I finally found a dermatologist who knew what it was after suffering for 15 years. I'm so happy this awful 'hidden disease' is now out in the open and being dealt with constructively! Now my 20 year old child is starting to develop HS. Anyone who knows HS knows just how heartbreaking this is, to have handed down this disease before I ever even knew what it was.
  • khakigirl Mar 15, 2012 @ 1:40 pm | delete
    Sending hugs your way. It's always bittersweet when I meet someone else who has HS. It's sad because I don't want anyone else to suffer with this disease but it's also good because it's nice to know there are others out there.

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