Inflammatory Conditions (Hidradenitis)

Hidradenitis suppurativa (HS), also known as acne inversa, is a chronic inflammatory condition that affects the skin, particularly around hair follicles and areas with sebaceous tissue such as the armpits, groin, buttocks, and under the breasts. It can cause significant discomfort and impacting quality of life.

HS is characterized by painful, inflamed lumps or nodules that can progress to abscesses, sinus tracts, and scarring. These lumps can be tender and may leak fluid or pus, leading to infection or an unpleasant odor. The exact cause of HS is not fully understood, but it is thought to involve an immune system response that leads to inflammation and blockage of hair follicles. People might have other auto-immune disorders as well, such as Inflammatory Bowel Disease.

When you visit my clinic with symptoms of HS, the first step is a thorough examination and medical history review. I’ll assess the affected areas to determine the severity of the condition and discuss your symptoms, including pain and flare-ups. HS can range from mild to severe, with some people experiencing occasional flare-ups and others having chronic, ongoing symptoms.

There are several treatment options for HS, and the best approach depends on the severity of the condition. Management may include:

Oral Medications: Antibiotics or other medications can be used to manage inflammation and prevent bacterial growth.
Biologic Therapies: These are newer medications that target specific components of the immune system to reduce inflammation.
Surgical Interventions: For more severe cases, surgery may be necessary to remove affected tissue, drain abscesses, or treat sinus tracts.

My role is to work with you to create a personalised treatment plan that addresses your specific needs, including referral to additional specialists, such as dermatologists and immunologists. I’ll discuss the risks and benefits of different treatments, answer your questions, and help you understand what to expect from each approach.