Hidradenitis Suppuritiva is an acne related condition involving recurrent boils and cysts in the apocrine areas. These especially include under the arms around the breasts, in the groin and buttock areas. It may be confined to just to just a few small cysts, or develop into large cysts with multiple training points. At its worst, they can be painful and make it difficult to carry out ordinary activities.
This condition is sometimes treated with injected steroids, topical or oral antibiotics, and surgical drainage. More radical treatment includes cutting out the entire affected area into the deeper fat or down to the fascia. That kind of surgery can require a long recovery time.
More recently, powerful immunosuppressants known as Biologics have been used with some success. Unfortunately, these carry a very large price tag both an actual dollar cost, and in the possibility of leading to development of infections like tuberculosis, or cancers like lymphoma.
I’ve been successful in improving the condition the patients with Hidradenitis using a similar approach to that which I use in acne. That involves correcting digestive and hormonal imbalances, and removing toxins from the skin. My report of success met with considerable resistance at the Second International Meeting of the Hidradenitis Suppuritiva Foundation in San Francisco some years ago.
Consequently, I was very happy to see an article that was published last year linking Hidradenitis Suppuritiva to metabolic syndrome. One of the most important inclusions of the article was that Hidradenitis Suppuritiva appears to be a systemic condition rather than just to localized skin condition. This further supports my approach and results in treating this condition as a systemic inflammatory disorder with supplements and nutritional changes.
If you need help with this condition, please contact my office. I work in New York and also via Skype, so if you live far away, I can still be of help.
To your health,
Dr. Alan M. Dattner, MD