Miscellaneous

Hidradenitis: photo, causes, treatment of hidradenitis sup- under his arm

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Hidradenitis (hidradenitis, popular name - bitch udder) - an acute inflammatory disease of the sweat glands. All the sweat glands in our body are heterogeneous, have variations in their structure and localization.

Hidradenitis when it comes to the so-called apocrine glands. They are found in the genital area, the external anus, meatus, but maximally concentrated and affected exactly in the axillary regions. This is a fairly large formations that produce sweat fluid or sweat, for the chemical composition which is characterized by high concentrations of lipids, in particular cholesterol. Existing-secreting cells of the glands often themselves become a part of the sweat fluid.

What it is?

Hidradenitis - this deep purulent inflammation of the apocrine sweat glands. Hidradenitis most often occurs during puberty or menopause, when there is a hormonal imbalance.

In most cases the disease is unilateral, but bilateral hidradenitis occurs. Inflammation is mainly developed in the armpit, at least - around the nipples, in the anus or genitals.

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Causes of

The main cause of the disease are gold and white staphylococci.

  • the penetration into the ducts of the sweat glands of the bacteria begin to multiply.
  • sweat gland duct becomes blocked horny plug.
  • generated secret without having access to the outside, stretches gland.
  • accumulated secret is a good breeding ground for bacteria.
  • sweat gland is inflamed, and the flow is terminated.
  • the infection spreads to the surrounding tissues. Formed tracts.

However, Staphylococcus hit occurs only in the presence of predisposing factors:

  • increased sweating;
  • presence microtraumas skin obtained as a result of careless shaving scratching;
  • weakening the body's defenses (immune reduction);
  • failure to comply with rules of personal hygiene;
  • endocrine diseases such as diabetes, exogenous constitutional obesity.

Hidradenitis, localized armpit, occurs more often in women than in men. In old age, the occurrence of hidradenitis sup- practically does not occur, since at this age have sweat glands do not function.

Classification

Several distinct forms of axillary hidradenitis sup-:

  1. Acute purulent form. Pathology develops due to blockage of apocrine sweat and sebaceous glands. Among patients with this form of disease are people who care for ill armpits. Hidradenitis in this form occurs as a typical inflammation in the body: low-grade fever, sometimes rising to the level of 38 degrees, malaise, discomfort, pain develops in the armpit depressions. Purulent form - dangerous for the patient's life, if he does not go for treatment to the doctor.
  2. Chronic hidradenitis often called relapsing form which is characterized by a purulent process occurring for a long time. The disease often manifests itself in defined intervals with acute purulent phase. Area apocrine glands, inflammation of the targeted increases. The lack of treatment of purulent septic processes dangerous consequences of a threat to the life of the patient.
  3. With sufficient care armpits, but not neat shave delicate skin in the area may be injured. The scratches and sores gets staph or any other kind of pathogenic organisms. It begins to form nodular hidradenitis, tending to grow in the absence of purulent treatment.

As hidradenitis inguinal, axillary develop with the passage of the stages within 10 days.

The symptoms of hidradenitis sup-

Start gradually. At the site of inflammation there is a sensation of itching, appears dense to the touch is very painful swelling in diameter from a few millimeters to 1-2 centimeters.

Gradually, the size of the swelling and pain increase. The skin over it becomes purple-red. Center swelling gradually softened, opened, and through the hole starts to pus. infiltrate development cycle continues for 10-15 days. hidradenitis sup- terminates permit the formation of scar. Often in the process of inflammation involved neighboring sweat glands.

This forms a very painful extensive infiltrate the skin over which becomes lumpy. When the successive defeats of more and more sweat glands process is delayed for a month or more. Hidradenitis often accompanied by symptoms of intoxication, hyperthermia, cephalalgia, leukocytosis.

Effects

If hidradenitis ride, hoping for self-healing, or treated inappropriately (including pseudo-ways "of neighbor") - it can cause a number of complications.

The first is:

  1. Lymphadenitis - inflammation of the lymph nodes in the vicinity (in the first place - the axillary and inguinal) due to the infiltration of the pathogen; further damage the lymphatic system is fraught limfostazom (elephantiasis);
  2. Generalization (spread) of the process - the pathogen goes "beyond" the sweat glands and spreads to surrounding tissue both in breadth and depth, through the connective bridge, tendons, fascia "streaks" pretty far away from the primary tumor and the "scattering" of the body to secondary infections foci; especially dangerous if purulent process will affect the periosteum and bone tissue - such a disease called osteomyelitis, formed a very hard-to-treat fistula;
  3. In advanced cases - blood poisoning (sepsis).

What is hidradenitis, photos

The photo below shows how the disease manifests itself in humans.

What will happen if you do not see a doctor?

If you do not consult a surgeon, the abscess can ripen several weeks. During this time, the cavity will increase, and the general condition to deteriorate.

In some cases, pus coming out on their own. But there is a danger that a cavity on the inside is covered with connective tissue and become a reservoir for infection. In this case, a unhealed fistula, which will flow through the contents boil. Periodically on the site will be formed hidradenitis. Subsequently, there are severe scarring, which may limit the mobility of the limbs.

Diagnostics

Hidradenitis sup- Diagnosis begins with a survey and examination of the patient. In favor of this disease says a characteristic localization region, the appearance of edema and possible associated symptoms. The physician needs to be distinguished from the sweat gland damage other disorders with similar clinic. It:

  • boil, peculiarity is the presence of purulent rod;
  • carbuncle - the accumulation of several boils in a limited area;
  • abscess - purulent inflammation of deep layers of the skin - fat, sometimes in the process involves the connective tissue;
  • Complicated atheroma - an infection of the sebaceous gland;
  • lymphadenitis, inflammation of the lymph nodes.

It is also worth to diagnose other forms of hidradenitis sup- - suppurativnoy. It develops on the background of severe acne. Seals in the ducts of the sebaceous gland squeezes the sweat, which leads to the top of the inflammatory process. This type of disease is recurrent nature, its treatment is advantageously carried out after removing the cause. During lactation the seal at the initial stage hidradenitis sup- portions are also similar to the cluster of milk due to clogging of the duct to the nipple.

treatment of hidradenitis sup-

Hidradenitis sup- begin treatment under the arm as soon as possible, preferably in the step of forming the seal. If timely medical care and proper treatment, infiltration may disappear at an early stage.

When the soreness and small nodules in the armpit doctor prescribes a topical treatment. Affected area and surrounding skin infiltrate several times a day should be carefully handle the alcohol - it will destroy pathogenic microorganisms present on the surface of the skin and will inhibit the proliferation of a pathological process in the sebaceous gland.

Twice a day, apply to the site of lesions compress Dimexidum. During treatment, the patient should be strengthened to eliminate physical exertion and stress, follow the personal hygiene, eating light, protein-rich meals.

With the development of suppurative hidradenitis sup- do without antibiotics. The drug is prescribed only by a doctor, depending on the individual characteristics of the patient, severity of disease, age and other factors. Treatment lasts at least 7 days, absolutely not acceptable on their own to stop the course during the occurrence improve autopsy or abscess. To speed up the ripening abscess is recommended to apply a bandage with ointment Vishnevsky or ihtiola.

Ripened hidradenitis treated surgically. Average autopsy purulent hidradenitis sup- and drainage of a positive result does not bring. In this case, the lesion is a lot microabscesses, undergo further maturation. Surgical treatment consists in carrying out a wide slit extending through the healthy tissue prior to infiltration.

After complete evacuation of pus made removal of the affected fat. In repeated cases of hidradenitis sup- require radical surgery. In its first stage, the autopsy purulent focus and excision of the inflamed tissue. Once the inflammatory process will take place in the affected area is completely removed the skin and subcutaneous tissue. The resulting defect closes donor grafts of the patient's skin.

Folk remedies

Among the time-tested folk remedies, we can highlight the following recipes:

  1. fresh celery leaves are washed in warm water, warm up and applied to the affected area several times a day;
  2. Fresh plantain leaves kneaded in the hand as long as the start to let the juice. They are then applied to hidradenitis armpit for 15-20 minutes 3-4 times a day. Good efficiency and has a fresh juice of plantain;
  3. Aloe vera leaves thoroughly washed with warm water, cut to length and applied to the affected area. By themselves, the aloe leaves are not able to cure the disease, but they have a bactericidal effect and are perfectly combined with other agents;
  4. One teaspoon of chamomile flowers, sage, eucalyptus, or calendula boiled water. The solution was then filtered and infused during the day. Wash the inflamed area should be several times a day.

If a person is diagnosed with hidradenitis, folk treatment can successfully replace surgical and other traditional methods, but before you use herbal teas and infusions - talk to your doctor or go to an experienced homeopath.

Diet

In the treatment of hidradenitis sup- need to stick to a diet. From the diet it is recommended to exclude sweet, flour, spicy and smoked food, alcohol, since these products and drinks increase blood glucose, increase inflammation, which can lead to complications.

Physical therapy procedures

Physiotherapy with hidradenitis:

  1. Ultrahigh-frequency therapy (UHF) helps to reduce inflammation and infiltration disappear. The procedure is prescribed in the event that hidradenitis is surrounded by a dense infiltrate and its center is not prone to softening. Physiotherapy in this case is accompanied by antibiotic treatment.
  2. Sun baths for 20-30 minutes or warming up the blue lamp for 5 minutes at a distance of 15-20 cm. Dry heat increases circulation and promotes resorption seals.
  3. Centimeter therapy (SMV) therapy - enhances microcirculation and reduces swelling, reduces inflammation symptoms, improves the protective properties of skin.
  4. Rentgenterapiya used to destroy the inflamed sweat gland in recurrent hidradenitis.
  5. Local ultraviolet radiation (UVR) causes the death of bacteria and increases the local immunity and skin resistance to infections.

Once inside the inflammatory focus formed cavity filled with pus, the ripening treatments are contraindicated.

hygiene

Compliance with the rules of hygiene hidradenitis helps prevent the spread of infection to other areas of the body. In addition microorganisms are trapped with wounds on the hands or the environment can cause severe poisoning or purulent inflammation in other family members.

  1. You can not take a bath. This may contribute to the spread of pus through the body. Instead, take a shower once a day 1, after having stuck plaster the affected area, that it is not flushed with water.
  2. The patient must have your towel, underwear and bed linen. It must daily wash at a temperature of not lower than 90 degrees and iron hot iron.
  3. Hygiene inflamed areas instead of liquid soap can be used Tsiteal.
  4. During the washing using bactericidal soap or a gel with a high content of lactic acid. These tools will help reduce the number of germs on skin and normalize its acidity.
  5. Until full recovery abstain from shaving and hair removal, so as not to traumatize the skin.
  6. Wear loose-fitting clothing made of natural materials. They help to avoid overheating and excessive sweating, which enhance the reproduction of bacteria and increase inflammation.
  7. After showering Rinse affected areas slaborozovym solution of potassium permanganate.

For drying of skin folds at hidradenitis recommend the use of powder with zinc oxide and talc.

Reviews

Some testimonials of people who are faced with the problem of hidradenitis sup-.

  • Reviewed by Oksana. I had hidradenitis in 2009 year. endured for the year 4 operatsii.vitaminy, autohemotherapy, ointments... helped only for a while, and then inflamed again. asked the Professor to purulent-septic otdelenie.proveli operation, but not simply incised and all, and radically, get deep dissection. then conducted a course of antibiotics into a vein, which was sensitive crop from the wound. Only after 12 days of such therapy, I was discharged. and everything's good. It remained, however, a noticeable seam, but these are trifles. It recommended: rubbing alcohol periodically, not supercool, remove gel or roll-on deodorant, hygiene. and even advised msec - and who can help, especially one who has not yet turned to hirurgu- mix soap (grate), warm baked onion (minced). mix. on the inflamed area, cover with a bandage (2 Oraz to change the day). very good it pulls pus.
  • Reviewed by Jan. Daaaa..eto full pipets! She was cut already 7 times!!! But the last time 5 do not go to the doctor. Do not think that call not to go, just the procedure is quite painful! What I'm doing: I'm burning the cones of boric acid, iodine, chlorhexidine smear, I put a bandage with ointment baneotsin (is a salve intended to hidradenitis sup- treatment), drink or amoksiklav antibiotic amoxicillin (500 amoxiclav is p, and the first 100 p, the action is almost identical) and brewer yeast. combustion procedure painful!!! Highly! But it's worth it! To the doctor to go even worse! Already this year 2 crap torments me! Tired, so that no power! I hate this disease! Surgeons happy with the cut! On the question of what to do and why it is happening respond that only cut and not catch a cold! But this is not an option! Pooetomu have to take such extreme measures... And now there was a relapse: (((I hope that everything will turn out... like in past times!!! I wish you all get sick !!!

prevention

The main principle of prevention hidradenitis sup- assumed compliance with the generally accepted rules of hygiene. Thus, a person's clothing must necessarily correspond to the temperature and humidity. It should not be worn too tight clothing.

People with excess weight should take steps to normalize body weight. It is important every day to conduct proper hygienic procedures in the muscle cavities. The area in which are located the sweat glands, should be continuously processing solutions having disinfectant properties. However, too frequent shaving hair in the armpit area may also be a cause of the disease due to the occurrence of minor wounds, through which the infection penetrates. Therefore, this procedure should be performed only when necessary, and using quality tools for shaving.

In some cases, the progression of the disease can provoke perfumes that can irritate the skin. Therefore, poor quality and unsuitable cosmetics and perfumes should be avoided. An important preventive measure should be considered as a healthy lifestyle and maintaining the immune system at a high level.

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