Acne Inversa

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[edit] Name of Condition

Acne Inversa, also known as Hidradenitis suppurativa or HS, Apocrine Acne, or Vernuil's Disease.

[edit] Definition

A skin disease that affects areas with apocrine sweat glands and hair follicles such as the groin, armpits, breasts and buttocks. The condition is marked by persistant, painful abscesses and may continue for years with occasional flare-ups.

[edit] Description, Signs and Symptoms

Acne inversa is a non-contagious and reoccurring progression of painful, deep-rooted abscesses that are extremely painful to the touch. The cluster of lesions are often inflamed and result in severe scarring. The abscesses may range in size from the size of a pea to about the size of a baseball. Symptoms include:

  • red, inflamed, painful bumps in the armpits, groin, or under the breasts
  • these bumps become pus-filled and break open

[edit] Inheritance

Because this condition has not been studied in much depth, the causes of acne inversa are not certain. A theory on inheritance is that it may be a result of a genetic predisposition within the family, involving a genetic disorder that alters cellular structure.

[edit] Diagnosis

Acne inversa often goes undiagnosed because a patient is uncomfortable with asking others about his/her condition. The condition is also very often misdiagnosed by physicians and left without proper treatment.

Potential theories on indicating acne inversa for diagnosis are:

  • it is more prevalent in females than males
  • there may be a genetic predisposition within families
  • bacterial infections associated with the abscesses
  • androgen dysfunction
  • stress and hormonal abnormalities
  • possible association with other autoimmune disorders


[edit] Treatment and Management

With no existing cure or single effective treatment, methods of managing the condition are often dependent on each patient’s unique circumstances. Some methods include diet and lifestyle changes, medications based on symptoms, and surgical procedures like drainage, radiotherapy and excision or laser surgery.


[edit] Prognosis

[edit] Resources

Hidradenitis Suppurativa USA, Inc. http://www.hs-usa.org/hidradenitis_suppurativa.htm

Hidradenitis Suppurativa Foundation, Inc. http://www.aad.org/public/resources/fisgroups.html

Disease InfoSearch http://www.geneticalliance.org


[edit] References

Acne Medicine: Diagnosing Acne Inversa http://www.theacnemedicine.com/acne-inversa.php

PubMed, U.S. National Library of Medicine and National Institutes of Health http://www.ncbi.nlm.nih.gov/pubmed/11843212

Acne Way http://www.acneway.com/acne_inversa.html

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