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HYDRADENITIS

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HYDRADENITIS - purulent inflammation of the sweat glands, often axillary.

The first sign of the disease is a small, dense, painful, gradually increasing nodule in the thickness of the skin and subcutaneous tissue. Initially, this nodule is covered with unchanged skin, and then its surface becomes uneven purple-red. When several sweat glands are involved in the process, multiple infiltrates with an uneven tuberous surface develop, with the purulent fusion of which an abscess forms. In contrast to the boil with hydradenitis, there is no necrotic core.

Conservative treatment at the infiltration stage (rest, dry heat, UHF-therapy, sollux, ultraviolet radiation, antibiotics). Surgical intervention (opening an abscess) is indicated for abscess formation of hydradenitis. Further treatment is carried out according to the general rules for the treatment of purulent wounds. With a persistent recurrent course of hydradenitis, specific immunotherapy is indicated (the introduction of staphylococcal toxoid, staphylactic vaccine, auto-vaccine) in combination with restorative agents.

Prognosis is usually favorable, but relapses are possible.

Prevention is about personal hygiene. It is recommended that individuals exposed to hydradenitis treat the skin, in particular in the axillary areas, with a 10% solution of camphor alcohol, as well as periodically irradiate the skin of these areas.