The main reason for the development of hydradenitis is getting into the excretory duct of the apocrine gland of the pathogen – Staphylococcus aureus. However, staphylococcus enters only when there are predisposing factors:
- increased sweating;
- the presence of microtraumas of the skin, obtained as a result of careless shaving, scratching;
- weakening the body’s defenses (reduced immunity);
- non-compliance with personal hygiene;
- endocrine diseases such as diabetes mellitus, exogenous constitutional obesity.
- Hydradenitis, localized in the armpit, occurs more often in women than in men.
In old age, the occurrence of hydradenitis practically does not occur, since at this age the sweat glands are already functioning poorly.
The process is often one-sided, in rare cases there may be bilateral lesion.
At the beginning, hydradenitis is represented by small dense single nodules, they are located immediately under the skin. With their palpation, the patient feels a little soreness.
With further progression of the disease, the nodules increase in size, they can be from 5mm to 3cm in size. As the size of the nodes increases, their pain increases.
Pain in the armpit is aggravated by movement. The nodules are soldered to the skin, which makes the skin a bluish color.
Symptoms of intoxication may be present:
- general weakness;
Large nodes are prone to merge with the formation of a dense infiltrate of large size. Pain also occurs when bringing the arm to the body.
After 4-5 days in the center of this infiltrate, softening occurs and the purulent formation is opened. Discharge of purulent character, thick, sometimes there may be a small amount of blood impurities.
After opening the patient’s pain decreases in the armpit, decreases body temperature, improves overall health.
Healing occurs with the formation of scar tissue.
If hydradenitis is not treated, then a relapse of the disease occurs.
Diagnosis of axillary hydradenitis is based on the clinical picture of the disease, characteristic changes in the axillary region.
An exact diagnosis can be made by a surgeon.
Unlike furuncles (inflammation of the hair follicle), with hydradenitis, a necrotic core is not formed.
In the general analysis of the blood signs of inflammation are found:
the number of leukocytes increases (leukocytosis);
erythrocyte sedimentation rate (ESR) increases.
In case of recurrent or prolonged flow of hydradenitis, the discharge of wound discharge is carried out, it is determined to which antibacterial drugs the pathogen is sensitive.
Also in these cases, the consultation of an immunologist is recommended. He makes an immunogram , with which you can determine the cause of reduced immunity.
The surgeon deals with the treatment of axillary hydradenitis, but in the initial stage of the disease you can contact a general practitioner or general practitioner.
If treatment is started in the early stages of the disease, it can be cured without surgery and the development of complications can be avoided.
Treatment is divided into general and local.
General treatment includes:
antibiotics: flemoklav, erythromycin, ampicillin;
when pain is expressed, painkillers are prescribed: nimesulide, ketorol, meloxicam.
In case of a relapsing course of hydradenitis, immunostimulating therapy is carried out, it is carried out strictly for the purpose of the immunologist, after the examination.
In case of a protracted course, autohemotherapy may be performed in order to increase the body’s defenses: subcutaneously or intramuscularly, the patient is injected with his own venous blood.
Local treatment includes:
ultraviolet irradiation of the axillary region;
treatment of UHF apparatus.
Hydradenitis treatment at home
At home, at the initial stage of the disease, warming procedures can be performed with dry heat. To do this, a bag of salt, heated in the oven or a hot boiled egg is applied to the axillary region 2-3 times a day.
Treat the skin with antiseptic solutions: alcohol, solution of brilliant green, alcohol solution of salicylic acid, boric alcohol.
In the stage of formation of the infiltrate (“suppuration”) recommended vodka compresses. To do this, make a solution of water and vodka 1: 1. Put a compress for 20-30 minutes.
Ichthyol or Vishnevsky ointment is also applied when a softening area appears in the center of the infiltrate.
With the ineffectiveness of conservative therapy, surgical treatment is carried out at the stage of softening of the infiltrate center. At the same time, an abscess is opened to remove purulent contents. Then daily dressings are made using antiseptic solutions (chlorhexidine, Miramistin ), Baneocin powder can be pouredinside the wound with antibacterial powder.
Attention! It is impossible to open or squeeze out a purulent formation.
During the disease should avoid the consumption of spicy foods, smoked meats, seasonings, alcoholic beverages. It is recommended to take a multivitamin.
Hydradenitis is treated on average 10-14 days.
Distribution on subcutaneous fat with the development of soft tissue phlegmon. This process develops with late or incomplete treatment. With proper treatment and compliance with all the recommendations of the doctor rarely develops.
If the pathogen enters the bloodstream and spreads the infection throughout the body, it can cause sepsis. It develops when the patient attempts to self-infiltrate.
Careful hygiene of the axillary area with increased sweating.
Weight loss with obesity.
Refusal of annoying perfumes and deodorants.
Observance of accuracy when shaving armpits.
Treatment of the armpit area with antiseptics (chlorhexidine, Miramistin ) with a high tendency to develop hydradenitis, a relapsing course.
With timely and proper treatment, the prognosis of the disease is favorable. If signs of the disease appear, you should immediately consult a doctor.