Hydradenitis

Description:

The hydradenitis - a purulent inflammation of apocrine sweat glands in axillary hollows (usually unilateral), inguinal folds, is more rare - around nipples, in the field of big vulvar lips, a scrotum and an anus.

Hydradenitis symptoms:

At the beginning of a disease at a palpation define the single small dense holmoobrazny nodes which are located in the thickness of a derma or a hypoderma. In this period patients feel a slight itch or small morbidity. Nodes quickly increase in a size, are accustomed to drinking with skin, get a pear-shaped form and eminate in the form of nipples, reminding "boughs an udder"; skin becomes blue-red, there is hypostasis of fabrics, morbidity considerably amplifies. Quite often isolated nodes merge, softened, there is a fluctuation then there comes their spontaneous opening with allocation of a smetanoobrazny type of pus with blood impurity. The necrotic core is not formed. Sometimes there is a diffuse dense, doskoobrazny infiltrate reminding a phlegmon picture. In this case morbidity arises not only at the movement, but also at rest, doing the patient disabled. Maturing of a hydradenitis is followed, as a rule, by the febricula moderated by rise in temperature expressed by morbidity. After opening of nodes the feeling of tension and pain decreases, in several days there is a scarring of ulcers (process of a rassasyvaniye of infiltrate longer). However palindromias are frequent and give to process a long current. The hydradenitis of axillary hollows most often unilateral, but can be at the same time bilateral. Average terms of a current of a hydradenitis - 10-15 days, however the long recurrent current is more often noted (especially at corpulent, suffering from a hyperhidrosis, diabetes and paying insufficient attention to hygiene of skin).

Hydradenitis reasons:

The activator - preferential golden staphylococcus which through the mouth of a hair follicle is implemented into the output canal of apocrine glands.
The assuming factors are the general weakening of an organism, the increased perspiration and existence of alkali reaction of sweat in armpits, inguinal folds, an anus, especially at non-compliance with hygienic conditions, maceration, microtraumas, cuts during the shaving, existence having combed owing to a pruritic dermatosis at the persons suffering nervous endocrine (diabetes, dysfunction of gonads) disturbances, decrease in local resilience. Development of sweat apocrine glands occurs only during puberty (at girls earlier, than at boys). At women is them more, than at men. By an old age function of the specified glands dies away therefore the hydradenitis does not occur at old men; at women he is more often than at men.

Treatment of the Hydradenitis:

The general treatment of a hydradenitis is performed under observation of the doctor reception of antibiotics, streptocides, nitrofurans and an autohemotherapy. At recurrent forms the specific immunotherapy, fortifying means are applied.

For topical treatment of a hydradenitis the Ichthyol flat cake replaced during release of pus twice a day, dry heat, UVCh, ultra-violet and natural solar radiation is used.

For outside treatment along with synthetic drugs spirit tinctures of a Sophora and arnica, infusion and broth of a St. John's Wort, juice kalanchoe leaves, sea-buckthorn oil, eucalyptus oil are used.

At development of an abscess (formation of abscess) its opening by a small section with further treatment by methods of surgery and phytotherapy can be applied. Dli of closing of a wound uses not the bandages rubbing at the movement pus in skin, but stickers (for example a bactericidal plaster).