HYDRADENITIS - purulent inflammation of the sweat glands, often axillary.
The first sign of the disease is a small, tight, painful, gradually increasing nodule in the skin and subcutaneous tissue. Initially, this nodule is covered with unchanged skin, and then its surface becomes uneven purple-red color. With the involvement of several sweat glands in the process, multiple infiltrates develop with an uneven, bumpy surface, and an abscess is formed during the purulent melting of which. Unlike boils with hydradenitis, there is no necrotic rod.
Treatment in the infiltration stage is conservative (rest, dry heat, UHF-therapy, Solux, ultraviolet irradiation, antibiotics). Surgical intervention (opening of the abscess) is shown with abscess formation of hydradenitis. Further treatment is carried out according to the general rules of treatment of purulent wounds. With persistent relapsing course of hydradenitis, specific immunotherapy is shown (administration of staphylococcal toxoid, staphylococcus vaccine, autovaccine) in combination with general strengthening means.
Prognosis is usually favorable, but relapses are possible.
Prevention consists in observing the rules of personal hygiene. Persons prone to hydradenitis are recommended to treat the skin, in particular in the axillary areas, with a 10% solution of camphor alcohol, and also periodically carry out ultraviolet irradiation of the skin of these areas.