HomeAnswersDermatologyhydradenitis suppurativa

What is hidradenitis suppurativa?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 41-year-old female. I am obese. My weight is 196.21 Ibs and my height is 5 feet 7 inches. Currently, I am taking Thyronorm 75 mcg and Storfib 145. Previously, I used to get lymph node enlargement in my underarms and groin areas, but they never become lesions. I have been having a pus oozing lesion on my underarm for the past 1.5 years. When I take antibiotics, it heals. But once I stop the medicine, it recurs. Earlier, I showed this lesion to a lady physician who suggested an ultrasound scan. The scan revealed a pocket of pus, but no changes in surrounding tissue. This lesion started when I changed my deodorant once. My 14-year-old son also has the same issue. He gets lesions in his underarms, which sometimes heal, and at other times pus leaks. I do not feel any thickness in my breasts in self-examination. I feel it is more dermatological. Please share your valuable opinion.

Thank you.
Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

You might be suffering from hidradenitis suppurativa, skin disease that causes abscess and scarring which commonly affects sweat glands. Are both underarms affected? Please send good quality photographs for confirmation of diagnosis and treatment.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

Only one underarm is affected. I am attaching a photo for confirmation of this diagnosis.

Thank you.

Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I had a look at the photographs (attachment removed to protect patient identity). Clinically it is going in favor of hidradenitis suppurativa. It is an infection of apocrine sweat glands and is very resistant to treatment. So, long-term medication is necessary. Ultrasound was not needed in your case; instead deep punch biopsy would be confirmatory. Nevertheless, you can take the following medications:

  1. Apply Clindac-A gel (Clindamycin phosphate 1%) twice daily.
  2. Take a capsule of Dalcinex (Clindamycin) 300 mg twice daily.
  3. One hour before meals have capsule R-Cinex (a combination of Isoniazid and Rifampicin) twice a day.
  4. Every day take tablet Pantoprazole 40 mg half an hour before breakfast.

You may experience red urine after the medication do not be fearful as it is perfectly normal after raking R-Cinex as it is a red dye and is excreted in urine.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 5, 2016
Reviewed At October 4, 2024

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

2,876Checks completed today
4.8/5User rating
~2 minAverage completion time
Evidence-basedGuideline aligned
Decision Helper
Hidradenitis Suppurativa Management Decision Helper

Considering your Hidradenitis Suppurativa options?

Answer a few questions to understand potential management paths for hidradenitis suppurativa and when to consult a specialist.

For guidance only, not a diagnosis. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.
Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

Why do I have excessive sweating after stopping the habit of alcohol drinking?

All About Gum Abscess

I have an abscessed tooth. How long will it take to spread?

I want to decrease sweating and look fresh. What can I use?

Can Hashimoto's disease cause enlarged lymph nodes?

My CT shows numerous pericecal enlarged lymph nodes. Can this be colon cancer?

Comprehensive Second Opinion

Read answers about:

hydradenitis suppurativaclindamycin

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.