Hidradenitis suppurativa is a chronic, inflammatory skin condition that affects areas of the body with sweat glands, most commonly the underarms, the groin, the buttocks, and the skin beneath the breasts. As the immune system causes inflammation in these glands, painful nodules and abscesses can form beneath the skin. Over time, these lesions may connect via channels called sinus tracts, leading to permanent scarring.
HS is not contagious or infectious. However, the inflamed nodules can become infected, contributing to discomfort and complications. Symptoms often begin around puberty and occur more frequently in women than men. HS is associated with several other medical conditions, including diabetes, excess body weight, polycystic ovarian syndrome (PCOS), and inflammatory bowel disease. Many patients also report a family history of the condition.
Because HS affects sensitive areas of the body and can be unpredictable and painful, it often has a profound impact on quality of life, self-esteem, confidence, and personal relationships.
If you live in the United States and are an African American or biracial woman between 30-39 years of age, you have a higher risk of developing HS than do other Americans
Often goes undiagnosed for 7–10 years due to misdiagnosis or stigma
HS is a chronic inflammatory skin disease, not caused by poor hygiene
A dermatologist-led care plan can significantly reduce flares and improve quality of life
HS is diagnosed through a detailed discussion of symptoms and medical history, along with a physical examination.
Disease severity is commonly described using the Hurley staging system.
Effective HS management requires a comprehensive, individualized treatment plan. Coordinated care among dermatology, primary care, and other specialties, such as gynecology, is often the best approach.
Treatment plans commonly include antibacterial cleansers and topical antibiotics to reduce the risk of infection. Oral antibiotics may be used during more severe flares to calm inflammation quickly. For acutely painful nodules, in-office steroid injections can provide rapid relief. Hormonal therapies, including birth control and spironolactone, can be particularly helpful for female patients. Ongoing advances in dermatologic research have also expanded treatment options, with injectable biologic medications offering effective long-term control. In select cases where medical therapy is insufficient, surgery may be considered.
In addition to medical management, lifestyle changes can significantly improve symptoms and disease control. Smoking is a known aggravator of HS. Patients who reduce or quit tobacco experience fewer flares and improved response to treatment. Maintaining a healthy body weight will also improve symptoms and enhance treatment response. Clinical trials are underway exploring the role of GLP-1 medications, representing an exciting new frontier in HS care.
At Capital Skin and Laser in Columbia, South Carolina, we understand the physical and emotional burden of hidradenitis suppurativa. Our physician-led team has extensive experience caring for patients across all Hurley stages, with a focus on reducing flares, preventing scarring, and improving quality of life.
Your care begins with a thorough consultation that includes a detailed review of your history and previous treatments. A skin examination allows us to develop a personalized treatment plan tailored to your needs. We partner with you long-term, monitoring your progress and guiding you through evolving treatment options with clarity and compassion.
“Dr. Spring was just fabulous to deal with. She listened intently and had a great personality to boot. I’m almost 82 years old, and my initial visit with her was one of the best experiences I have EVER had with any physician. I feel privileged to have her as my doctor, and I highly recommend her!!!”
“Dr. Spring was amazing. She explained everything thoroughly and respected my concerns.”
“Dr. Spring and her staff were upbeat, attentive, and caring. They saw my anxiety prior to my procedure and took an extra moment to talk through it with me, which made me feel like they care about me as a whole person. I’ve never felt anxious prior to treatment before so this extra step really hit home.”
“Kudos to Dr. Spring. She has the Eye of an Eagle, the Heart of a Lion, yet the Hand of a Woman! Best surgeon ever!”
If you are experiencing painful nodules, recurrent flares, or symptoms consistent with hidradenitis suppurativa, schedule a consultation at Capital Skin and Laser. During your visit, we will perform a comprehensive evaluation, review your history and prior treatments, and develop a personalized plan focused on long-term disease control and improved quality of life. Our goal is to provide clear guidance, effective treatment, and ongoing support as you navigate this condition.
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