Wounds on Wednesday - Case 6 Worsening Hidradenitis suppurativa in a Teenage Boy

Worsening Hidradenitis Suppurativa in a Teenage Boy

Hidradenitis suppurativa (HS) is a chronic, recurring problem of the skin that develops in the teenage years after puberty.  The problem is related to abnormal hair follicles and sweat glands. Painful skin nodules and abscesses can develop primarily in the neck, armpits, groin, inner thigh and under breasts. These painful nodules will eventually rupture and drain bloody to clear yellow fluid.  Severe pain and swelling in these areas often restrict movement. Over time these pain recurring lesions will result in severe scarring and disfigurement of the skin.

This patient was a 14 year-old teenage male who presented to our office with complaints of severe HS. Prior to our assessment he had suffered for three years with recurrent painful outbreaks of lesions in his armpits, thighs and groin area. He had become socially withdrawn due to his anxiety regarding the odor, pain and drainage associated with the lesions.  Treatment was initiated to address the active skin lesions and to reduce the severity of the outbreaks. Medical grade honey was applied to the open wounds and he was initiated on Metformin. Laser hair removal was performed in our office. Routine disinfection of the skin was initiated. Ultimately, he was started on intramuscular injections of Humira which was recently approved for treatment of HS. The combination of the above treatments, deligent cleansing by the family and good compliance by the patient eventually turned his life around and allowed him to return to school and interact with friends. At every follow up visit his parents tearfully express their gratitude and appreciation for helping their son.

If you suffer from HS please call our office to discuss how we can help you improve your life and reduce the severity of your condition 713-464-9776.


Dr. Rene Amaya

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