Wounds on Wednesdays - Case 2 Hidradenitis suppurativa in a teenage girl

Hidradenitis Suppurativa in a Teenage Girl




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 17-year-old teen from Houston suffered from hidradenitis lesions throughout her body for many years. Prior to seeing us in the office, treatment was primarily oral antibiotics which rarely helped her acute flare ups. Severe scar tissue ultimately developed.

Standard intervention for controlling and reducing the severity of these recurrences include initiation of oral Metformin, laser hair removal of the affected areas and treatment of acute flare ups with advanced wound dressings. In severe occasions, injections with Humira are prescribed to control the frequency of outbreaks. This combination of treatment has been shown to be very effective in our patients. Although there is no cure for HS, controlling the frequency and severity of symptoms has been very effective in our patients. Call our office for more information 713-464-9776.

Dr. Rene Amaya

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