Known to be a chronic and relapsing skin disease, axillary hidradenitis suppurativa brings varying degrees of pain and discomfort to patients affected by this skin infection. Its cause is concentrated in areas with apocrine follicles, such as the underarm. Cases of Axillary hidradenitis suppurativa can be caused by blockage of the sebaceous glands and of the hair follicle openings.
Other substances such as dead skin cells, fluid, and other matter released by other sweat glands near the affected area can also block the oil glands. Once these substances are trapped, they affect the tissue of the skin. This action happens in areas of the body where there are oil and sweat glands.
Other areas of the body such as groin, breasts, and buttocks can also be affected by hidradenitis suppurativa. Bacteria in the skin can also make the case worse, because it can cause infection and skin inflammation.
Factors that trigger the development of Axillary hidradenitis suppurativa are smoking, hormones, obesity, or hereditary. They may vary according to the patient’s lifestyle or genetic make-up.
Signs and symptoms of Axillary hidradenitis suppurativa:
• Blackheads. These blackheads appear in pairs or in a double-barreled pattern. It physically looks like little pitted areas of the skin.
• Red bumps. The appearance of lesions means they have the tendency to grow bigger and they can break open and drain pus. Patients feel uncomfortable with the drainage as it causes an unpleasant odor. It can also cause burning sensation and excessive itching. The patient can also experience excessive sweating.
• Pea-sized lumps. These lumps are usually hard and they grow under the skin. They become chronic and recurrent. They grow larger and they eventually get inflamed.
• Bumps and sores with leakage. Open wounds heal slowly and leaking can cause severe scarring of the skin, as well as the growth of tunnels underneath the skin.
There are varying degrees of this skin disease and each stage needs the proper medication to make sure that the condition will not worsen.
• Stage 1. Formation of single or multiple abscesses, but there are no sinus tracts yet.
• Stage 2. Abscesses become more recurrent, and sinus tracts begin to form. Lesions are also forming in different parts of the body, either in singles or in multiples.
• Stage 3. Tracts and abscesses are already connected across the axillary area. For this stage, it is necessary to seek for medical help should the patient needs a surgical treatment.
Treatment and Management
Early detection can effectively manage the lesions and avoid them from spreading across the different parts of the body that have oil and sebaceous glands.
For cases with severe inflammation, open wounds, and bacterial infection, the patient should consult a doctor if there is a readily available procedure to provide an effective surgical treatment. A surgical treatment gives the promise that the recurrence of the cases of Axillary hidradenitis suppurativa will be lowered.