Hidradenitis suppurativa (also known as Verneuil's disease or acne inverse) is a deep-seated inflammatory condition that produces lesions which mainly occur in the axillae, groins and anogenital areas of the body (1).
Hidradenitis is primarily an acne-like follicular occlusion disease where apocrine glands only become involved in the context of peri-follicular inflammation - it is not a primary disease of apocrine glands (1,2).
The disease can be seen after puberty and most commonly in the second or third decade of life (2). This has led to the hypothesis that hormones play a role in the pathogenesis of the disease (1).
Friction from axillary adiposity, sweat, heat, stress, tight clothing, genetic and hormonal components has been recognized as contributory factors (1).
British Association of Dermatologists (BAD) guidelines state that a triad of "typical lesions, in characteristic locations, with a recurrent pattern" is required for diagnosis (3)
Click here for example images of this condition
Refer to dermatology when patients have severe disease or when mild to moderate disease has not responded to first-line treatment with tetracyclines in primary care (3)
Notes:
Reference:
Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page