Hidradenitis Suppurativa (HS) Treatment
at Mosaic Dermatology in West Fargo
Hidradenitis suppurativa (HS) is a chronic skin condition that causes painful bumps, boils, and abscesses deep within the skin. HS often affects areas where skin touches skin, such as the groin, underarms, buttocks, and under the breasts. Early diagnosis and treatment are essential to prevent scarring, pain, and long-term complications. At Mosaic Dermatology, we specialize in identifying and managing this challenging condition with personalized treatment plans tailored to each patient.
What is Hidradenitis Suppurativa?
HS is a long-term inflammatory skin disorder involving the hair follicles and surrounding tissue. It typically starts after puberty and can worsen over time if left untreated. The condition may result in painful lumps, recurrent abscesses, and the formation of tunnels (sinus tracts) under the skin, which can lead to scarring and restricted mobility in severe cases.
Causes of Hidradenitis Suppurativa
While the exact cause of HS is unknown, several factors contribute to its development:
- Genetics: Family history increases the risk of HS.
- Hormonal Changes: HS often appears after puberty and may fluctuate with menstrual cycles.
- Lifestyle Factors: Smoking and obesity are strongly associated with HS development.
- Immune System Dysfunction: HS may involve an abnormal immune response, leading to inflammation.
- Friction and Sweat: Areas of the body where skin rubs together are more prone to HS lesions.
Symptoms of Hidradenitis Suppurativa
Symptoms of HS can vary depending on severity but may include:
- Painful, pea-sized lumps that persist for weeks or months.
- Boils or abscesses that drain pus and have an unpleasant odor.
- Itching, burning, or discomfort in affected areas.
- Blackheads appearing in small pitted areas of the skin.
- Tunnels (sinus tracts) under the skin that connect abscesses.
- Scarring and thickened skin after repeated flare-ups.
Hidradenitis Suppurativa Treatment Options
At Mosaic Dermatology, we provide comprehensive treatment options designed to reduce symptoms, prevent flare-ups, and minimize scarring:
Medical Treatments
- Topical antibiotics: To reduce bacteria and prevent infection.
- Oral antibiotics: For controlling inflammation and managing infection.
- Corticosteroid injections: To reduce inflammation in painful nodules.
- Hormonal therapy: Such as birth control pills or anti-androgens for hormone-related HS.
- Biologic therapies: Targeted medications (such as adalimumab or secukinumab) that help control severe HS by modulating the immune system.
Surgical Treatments
- Incision and drainage: For quick relief of painful abscesses.
- Unroofing procedures: Removal of sinus tracts to prevent recurrence.
- Laser therapy: To remove hair follicles and reduce inflammation.
- Wide excision surgery: In severe cases, removal of affected tissue to prevent further outbreaks.
Lifestyle and Supportive Care
- Weight management and smoking cessation to reduce triggers.
- Wearing loose-fitting clothing to minimize skin friction.
- Gentle skincare routines with antibacterial cleansers.
- Warm compresses to ease pain and promote drainage.
Managing Hidradenitis Suppurativa
While HS is a chronic condition, effective management can improve quality of life and reduce the severity of flare-ups. Regular dermatology visits for monitoring and adjusting treatments are essential. Early intervention can prevent long-term complications such as scarring and restricted movement.
When to Seek a Dermatologist
If you experience:
- Persistent painful lumps in areas where skin rubs together.
- Recurrent boils or abscesses that do not heal.
- Scarring or tunnels under the skin.
Seeking prompt dermatological care can lead to better treatment outcomes and improved quality of life.
Expert Hidradenitis Suppurativa Care in West Fargo
At Mosaic Dermatology, we are committed to providing advanced, compassionate care for patients living with hidradenitis suppurativa. Schedule an appointment today to explore treatment options designed to help you manage HS and restore skin health.