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Has anyone here heard of hidradenitis suppurativa?

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chimney55

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I was diagnosed with "Stage I" HS over 20 years ago. If you don't know what it is, it's a little known "condition" that starts out as someone who tends to get "boils" infrequently in "uncomfortable" places. As such, it's usually misdiagnosed in stage I. In stage II, the "lesions" come more often, sometimes in "clusters", and sometimes, they open up and ooze, but just as often, they tend to break under the skin and "tunnel" to neighboring cells where new lesions will then form. This is usually treated by lancing the lesions that get too big and giving massive amounts of antibiotics. This might "get rid" of the lesions at the moment, but they will come back. At some point, some well meaning doctor will try to prescribe something like Accutane to get rid of it. For those brave enough to take it, it works for some of them while they are taking it but "comes back" after ceasing the treatment. Did I mention that there is no cure for this? There are only "treatments" to ease pain or inflamation. Oddly enough, some people can progress to stage II and never go to stage III. (Or be in stage I and never go to stage II.) Stage III comes when the lesions become chronic (along with the associated pain). Lesions are constantly forming, opening, oozing, and spreading and bringing pain and scarring. Options at this point are limited to "long-term" use of antibiotics (which don't work) and plastic surgery (which has a 50% chance of working).

HS is referred to as an "orphan disease". Basically, this means that so "few" people get it that relatively few people are interested in researching. There's no "huge push" by pharmaceutical companies to "find a cure" because it wouldn't be "profitable" for them with "so few" clients. Actually, I think that there are more people out there that have it. But because of the "nature of the beast", many doctors misdiagnose the "ailment" until a person has already progressed to stage II. And because the lesions occur in "private" places, people tend to be "ashamed" because they and doctors invariably turn to "poor hygiene" as a cause (which is not true).

I was diagnosed by a dermatologist with HS over 20 years ago by a dermatologist. I was in late stage I. I am now in stage III---and have been for over 15 years. It's not fatal, or contagious, but people with the disease have a tendency to isolate and become depressed in addition to the disease. Did I mention that there's no cure? I finally "bit the bullet" and applied for disability. I started receiving it this summer. I had been laid off of the last 2 jobs that I had. Although, it wasn't specifically mentioned, I had been talked to by HR about "personal hygiene issues"--directly related to the HS.

I'm posting this here for 3 reasons. First, I think that there are people out there who have it and don't know it and/or have never talked to anyone about their "boils" in embarrassing places. Secondly, because one of the "triggers" for "outbreaks" is said to be smoking---if you can quit smoking, the outbreaks are "fewer", so I'm told. And quitting smoking for me has never been an option. And, finally, because I've recently found something that actually helps! And it's not an antibiotic! It's available in "health food" stores and online from Walgreens. It's relatively inexpensive. Oh, and one more thing, they THINK that it might be an auto-immune disease as it shows up more in people who have rheumatoid arthritis, fibromyalgia, IBS, and other auto-immune diseases.
 

5cardstud

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Wow, Just Wow. I'm sorry to hear you have this desease and pray it gets better. Acutane huh? They have a class action law suit going against them right now, I see the lawyers announcement on tv ever so often. I sure hope I don't get it because I have an extremely high tollerence to antibiotics. I usually have to get infusions when antibiotics are needed because of the immunity I have to them. I do hope you get better.

Here is the treatments I read about:Treatment of Hidradenitis Suppurativa
Treating hidradenitis suppurativa is difficult. It is best treated in the early stages before extensive scarring develops. However, it must be diagnosed correctly. The following are some of the treatment options:

Antibiotics - Oral antibiotics may help suppress the inflammation especially in mild cases, but they do not cure the disease. The same antibiotics that are used for acne are used for hidradenitis suppurativa, only in higher doses. These antibiotics include erythromycin, tetracycline, minocycline, and doxycycline. Topical antibiotics do not help.

Isotretinoin (Accutane) - Isotretinoin may be helpful in mild cases, but the response is unpredictable. Sometimes isotretinoin is used to reduce the size of the affected areas prior to surgery. Isotretinoin does have significant side effects and must not be used by pregnant women.

Steroid injection - Injecting a steroid into an inflamed lesion is sometimes helpful. The injection helps reduce inflammation and may be used if an area is especially painful. Steroid injections are normally combined with other treatments.

Surgery - In moderate to severe cases, surgery is the most definitive option. Taking out only the immediately affected area only leads to recurrence of the disease. The treatment of choice is called wide local excision. In this procedure, the affected area and surrounding normal tissue are surgically excised. The excision is not stitched back together but left open to heal from the inside out. Skin grafts may be placed in the excised area to speed healing.
 
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chimney55

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Oct 7, 2010
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NW Arkansas
Wow, Just Wow. I'm sorry to hear you have this desease and pray it gets better. Acutane huh? They have a class action law suit going against them right now, I see the lawyers announcement on tv ever so often. I sure hope I don't get it because I have an extremely high tollerence to antibiotics. I usually have to get infusions when antibiotics are needed because of the immunity I have to them. I do hope you get better.

When the doctor suggested Accutane for me, he gave me the information about it--to think about it. He also told me that he would not prescribe the Accutane for me without also putting me on birth control pills. Being a 35+ year old smoker, for me "the pill" was not an option because of possible stroke. So, in the end, I never went back to that doctor again. :laugh: I'm allergic to many antibiotics, and because of HS, I am "immune" to many of the others. On the plus side, I have found that with my "supplements", the pain level has gone down to a level that I haven't experienced in about 10 years. Woohoo!
 

Nighthawk

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Jun 4, 2010
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Wow, that is aweful. I have never heard of it either. Makes sense that it'd be related to auto-immune disorders. I am glad you've found a supplement that works for you. I know the 'powers that be' largely discount the effectiveness of supplements, but if it works for you, then it works. I've read insomnia studies that were quite clear about melatonin not working, but it works for me so to heck with the studies and 'experts'. :p Hang in there and thank you for bringing this disease out in the open, more people need to know!
 
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