How to treat axillary hidradenitis. Hidradenitis: treatment, symptoms, under the armpit, in the groin. Honey cake against inflammation of the sweat glands

The disease requires mandatory treatment, often surgical. With untimely seeking medical help, hydradenitis can result in a number of complications.

Features of the disease

Apocrine glands are localized only in the armpit and perianal (near the anus) region of a person. These small tubular structures produce a thick, pungent, foul-smelling secretion that is discharged directly into the follicles.

This anatomical feature explains why the ICD10 classifies hydradenitis as a disease of the hair follicles, although the true inflammatory process occurs in the sweat ducts.

Appearance

Calling armpit hydradenitis a bitch udder, people probably meant the external similarity of inflamed bumps to dog nipples.

The focus of suppuration can look different. If the structure of the affected tissues is not broken, then it resembles a fluctuating (moving) subcutaneous seal, red and hot to the touch. If hidradenitis has an open duct to the surface of the skin, pain and swelling are much less pronounced. With pressure on the inflamed area, pus is released from the stomata of the sweat glands.

Age dependence

Armpit hydradenitis occurs only during puberty and after, while the apocrine glands are actively working. By old age, their functionality fades away, so the elderly are practically not bothered by the disease.

sex addiction

It is noticed that in the armpit area it pursues mainly the fairer sex. The disease is more susceptible to young girls of puberty and women of postmenopausal age. Often, pathology develops in pregnant women and young mothers in the first month after childbirth.

Classification

Clinical medicine considers several variants of armpit hydradenitis:

Acute form with suppuration. It proceeds brightly and without appropriate medical care can result in a mass of complications. Occurs against the background of insufficient hygiene of the armpits.
Chronic inflammation. It develops for a long time, with constant remissions and repeated exacerbations. The affected area gradually increases. Lack of treatment is dangerous for the development of sepsis.
Nodular hydradenitis. It occurs due to inaccurate shaving of the armpits. With untimely medical care, it threatens to develop into a purulent one.

Each of the stages of axillary inflammation lasts from 10 to 14 days and ends with recovery or transition to a more complex phase.

Symptoms and stages

Hydradenitis can be both unilateral and bilateral. It begins with the formation of a small subcutaneous seal in the folds of the dermis. If several sweat glands are affected, a corresponding number of painful tubercles appear.

Further symptoms of armpit hydradenitis depend on the stage of the disease:

While the infiltrate is being formed, and it takes 7-10 days, the patient experiences general malaise, fatigue, lethargy, and a temperature of 37.2-37.8 ° C is possible.
At the acute stage, the size of the inflamed node can reach 3-5 cm in diameter. The bump fills with pus, becomes purple-blue in color and causes severe pain. The temperature rises to 38-40 ° C, the tissues around the focus itch, stretch and shine glossy.
At the peak of inflammation, the node acquires a conical shape. In the absence of qualified assistance, the abscess may spontaneously open, forming a fistula.
After a few days, the symptoms of hidradenitis subside, the bump becomes soft and pus begins to come out through the hole formed.

The process of acute inflammation lasts an average of 2 weeks and ends with scarring. If relapses occur and the disease becomes chronic, the recovery period is delayed. At the same time, there are signs of general intoxication of the body, cephalgic syndrome, hyperthermia.

Causes

The causative agents of axillary hydradenitis are most often Staphylococcus aureus, Pseudomonas aeruginosa, Streptococcus or Escherichia coli. Bacteria are introduced into the apocrine glands through the ducts or lymphogenous way.

Sometimes armpit hydradenitis occurs as a hereditary disease, but more often it develops under the influence of provoking factors:

increased sweating;
insufficient body hygiene;
hormonal surges;
injury to the armpit area with a narrow sleeve, synthetic clothing, a dull razor;
state of stress;
poor immunity;
work in hot climates;
endocrine disorders.

In pregnant women, armpit hydradenitis often occurs due to hormonal failure or weakened immunity. Then any cold or hypothermia can provoke inflammation and suppuration of the sweat glands.

Which doctor treats hydradenitis under the arm

At the very beginning of the disease, when the symptoms of hidradenitis are not sufficiently pronounced, you should consult a dermatologist. If conservative treatment does not help or the process is in the active stage of suppuration, it is better to consult a surgeon. Women who are expecting a baby should consult their gynecologist.
If any of these specialists is not in the local clinic, it is necessary to postpone the coupon to the local therapist.

Diagnostics

Any form of armpit hydradenitis needs laboratory tests, because visual inspection and palpation do not always allow to differentiate bitch udder and make an accurate diagnosis.

Bacteriological examination will help to verify the presence of inflammation of the sweat glands. The analysis identifies the pathogen and determines which antibiotics it is most susceptible to.

Material for bacteriology is taken at the time of opening the abscess or from an already formed wound. In sowing, Escherichia coli, Proteus, streptococci or staphylococci are most often found.

In chronic hydradenitis of the armpits, the patient is prescribed an immunogram. The study shows at what level the immunity is and whether supportive therapy is required or not.

Treatment

In any course of the disease, you should not open the abscess yourself. This will only worsen the development of hidradenitis and provoke the spread of infection to neighboring tissues and organs. Therefore, if there are inflamed bumps in the armpit, you should immediately consult a doctor for a treatment appointment.

Therapeutic methods

You can resort to therapeutic measures immediately after making a diagnosis, which implies the isolation of hydradenitis from carbunculosis, lymphadenitis or furunculosis.

Such treatment is especially effective at the initial stage of the disease. It includes complete removal armpit hair and daily wiping the affected area with an alcohol solution.

There are others, no less effective ways fight against hydradenitis:

exposure to dry heat - applying a towel heated with an iron to sore spots. The procedure can be performed 3-4 times a day;
warming the armpit area with sunlight or an ultraviolet lamp.

Such procedures slow down the development of hydradenitis and accelerate the resorption of cones.

Medicines

With multiple and large foci of inflammation, antibiotic treatment is prescribed. If Staphylococcus aureus is detected as the causative agent of the disease, Monomycin or Amoxicillin is used. Lincomycin, Penicillin, Erythromycin, Azithromycin or Rifampicin are also prescribed.

To reduce suppuration, pure ichthyol is applied topically, the skin around the site of inflammation is wiped with tincture of calendula or salicylic alcohol.

As symptomatic treatment with armpit hydradenitis is prescribed vitamin complexes, with active progression of hidradenitis, anti-staphylococcal plasma, bacteriophage, immunoglobulin or toxoid are used. It is possible to introduce a protein blood substitute.

With the development of purulent hidradenitis of the armpits in a pregnant woman, a course of antibacterial treatment is used, despite the likely harm to the fetus. Otherwise, the disease can cause severe side effects in a woman and lead to sepsis with subsequent death.

Surgery

If hidradenitis under the arm goes into the phase of suppuration or there are signs of melting of the abscess, an operation is necessary. During the procedure, the surgeon removes the inflamed apocrine gland, cleans out the pus, and eliminates the fistula. Then he rinses the cavity with antiseptics, injects an antibiotic, puts a drain and partially sutures the wound.

With a large area of the lesion, the doctor excises the inflamed tissue and transplants the removed skin area.

Folk methods

With hydradenitis of the armpits, it can help and Alternative medicine but only in the early stages of inflammation.

To eliminate the disease most often used:

cakes with flour and honey;
fresh leaves white cabbage or plantain;
dressings made of oatmeal with kefir or sour cream;
boiled onion;
a mixture of honey, egg yolks and white flour.

All of these funds should be used after consulting a doctor. With active suppuration and inflammation of the infiltrate, it is better to refuse non-traditional treatment.

Complications

Severe axillary hidradenitis causes quite serious consequences, for example:

deterioration of lymphatic drainage;
, scars and various tissue changes, leading to limited mobility of the hand;
repeated infections;
depression, social isolation.

Rarely, armpit hidradenitis develops into squamous cell skin cancer. This prognosis is more typical for patients over 60 years of age.

Prevention

The main way to avoid the appearance of a bitch udder under the arm is to maintain hygiene and monitor the dryness of the skin folds. It is also necessary to maintain a balanced diet, avoid stress and hypothermia, increase immunity and temper the body.

Someone may need to reconsider the process of shaving underarms - replace the machine, use a special foam or gel, treat the skin with antiseptics after the procedure.

The prognosis of hidradenitis is most often favorable - with timely and competent therapy, recovery occurs in 7-15 days. With a late visit to a doctor or a weakened body, the disease can become chronic. But in this case, it is not difficult to achieve complete recovery. The main thing is not to give up and strictly follow the recommendations of the doctor.

Useful video about the treatment of hidradenitis under the arm

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Hydradenitis or "bitch's udder" is a pathology of the sweat glands, which is caused by inflammatory processes. With the right and timely treatment you can get rid of the disease within 5-7 days. Hidradenitis (in an uncomplicated form) does not bring much discomfort, except for an obvious cosmetic defect.

Hydradenitis is a widespread disease. For people without a medical education, this pathology is more commonly known under the popular names "bitch udder" and "wolf udder" because of the characteristic inflamed growths that resemble dog nipples.

Hydradenitis or "bitch's udder": how to cure at home

What it is

Hydradenitis is a pathology of the sweat glands caused by an inflammatory process. The most common causative agent of infection is Staphylococcus aureus. The disease may be chronic.

According to the place of localization, they distinguish:

in the armpits;

and hidradenitis of the scalp (in men).

Neck, face and mucous membranes are affected in rare cases.

Women who have reached puberty are most susceptible to the disease. The etiology of hydradenitis is quite simple: a bacterial infection through a wound on the skin enters the mouth of the hair follicle. At this stage, you can see a small pimple or boil, a little painful, possibly with a purulent cap. As the infection grows, pathogenic microorganisms penetrate the sweat glands and provoke an increase in foci of infection.

There are several stages of the emergence of a bough udder:

Redness and tenderness on palpation.

The appearance of red abscesses.

Spontaneous opening of abscesses, the appearance of purulent discharge.

Scarring stage.

Often, patients take only local methods of treatment - all sorts of lotions and creams, which allows you to forget about the problem for a while. But soon after a small remission and a stage of scarring, the wolf's udder appears again and all stages of the disease are repeated.

With proper treatment, pathology can be eliminated within 5-7 days.

But, oddly enough, people who have been tormented by a bitch udder for several years turn to doctors. This statistic is due to the fact that in our country the system of self-diagnosis and self-treatment is very “developed”. On early stages bitch udder can be confused with furunculosis, folliculitis and a number of other skin pathologies. Due to improper treatment, the disease begins to progress, scars appear.

Hidradenitis in an uncomplicated form does not bring much discomfort to the patient, except for an obvious cosmetic defect. But with increased inflammation, crusting, tissue damage, and sepsis can occur.

Signs of hydradenitis or how to distinguish a bough udder from other skin diseases

Hydradenitis of the armpit is localized mainly in the area of only one armpit. In some cases (complicated by concomitant chronic diseases), foci occur on two armpits and in the folds of the mammary glands.

At the stage of infection, the nodules have a red form of inflamed acne. They itch when sweating, painful on palpation. Unlike furunculosis, hydradenitis extremely rarely manifests itself on the face and in the area of the shoulder girdle. In places where there are no sweat glands and hairline, hydradenitis appears as concomitant dermatological phenomena.

The bitch udder is pea-shaped and has a blue-red hue for a long time.(with furunculosis acne with a purulent cap, small). Unlike folliculitis, hidradenitis does not affect the scalp. In the second stage, the bough udder has a pronounced rounded shape and is very painful. Several foci can merge into one.

At the stage of maturation, the patient has general weakness, pain in the focus of inflammation, fever and other signs of infection. In the third stage, the nodules begin to soften, become less painful and open.

Opened foci can fester for several days, it is possible to release serous fluid with blood fragments. Purulent thick masses have an unpleasant, pungent putrefactive odor. As soon as the discharge from the wound ends, it is delayed. In patients with a chronic form, new foci and sores appear next to the scars, which later heal.

Causes of hydradenitis

Hydradenitis is referred to as one of the forms of pyoderma.(bacterial infections that cause pustular lesions of the skin). Pathogenic microorganisms can be introduced after shaving, combing, squeezing a pimple th. Hidradenitis in the armpits in women is common, since this area of \u200b\u200bthe skin undergoes frequent destruction during epilation, and sweating increases the number of bacteria.

The occurrence and development of infection can be influenced by a number of factors, triggers for the disease can be:

high degree of sweating;

transferred dermatological diseases;

working conditions that do not meet sanitary standards;

wearing dirty underwear;

frequent use of products that mask the smell of sweat;

wearing tight synthetic underwear;

pregnancy;

microtrauma.

In people with normal immune functions, hidradenitis resolves within a week or two. x with the use of antibacterial drugs inside and local external ointments.

The complicated form is accompanied by the constant appearance of weeping sores, scarring, and an unpleasant odor. The long course of hidradenitis, which is not amenable to treatment with drugs of choice, indicates comorbidities.

Diseases in which it is difficult to get rid of the bitch udder:

type 1 and type 2 diabetes;

pathology of the endocrine system;

diseases of the cardiovascular system;

systemic violations of the outflow of lymph;

obesity.

Not a rare cause of complications may be neglect of the rules of personal hygiene or improperly selected care product for this area of \u200b\u200bthe skin.

Hydradenitis in the groin and labia develops in most cases in girls during puberty. The first symptoms of the disease are itching, redness and soreness. The lesions affect the groin area, can move to the inner thighs and labia majora. The inguinal form of the disease is painful and with a large number of complications. The process is exacerbated by the inaccessibility of lesions to fresh air and constant contact with clothing.

Unlike the axillary form, the bough udder in the groin has a wide focal localization, it can manifest itself in dozens of abscesses at the same time. This type of pathology often becomes chronic, which is difficult to get rid of. A complication of inguinal hidradenitis can be deep inflammatory processes of adjacent tissues, scarring and fistulas in the urethra, weeping ulcers, purulent arthritis, and the appearance of purulent inflammation on the rectal mucosa.

IN running form the disease involves a complex of skin inflammatory processes in the form of scalp folliculitis, acne, skin tuberculosis, and granulomatulosis. In men, hydradenitis inguinal region often extends to the buttocks and anus.

Bitch udder in pregnant women

Hydradenitis during pregnancy is a common disease. There are several reasons why inflammation of the sweat glands occurs in pregnant women:

decline immune functions;
decrease in skin elasticity;
a set of extra pounds;
hypovitaminosis;
pregnancy diabetes;
hormonal imbalance;
high sweating.

Hidradenitis during pregnancy can be localized in the armpits, in the folds of the mammary glands and groin. During pregnancy, they try to use only local preparations for treatment. The use of antibiotics and excision of abscesses by surgical methods is not indicated until the end of the second trimester.

Diagnostic procedures

Diagnosis with a bough udder includes:

external examination by a dermatologist;

visiting an infectious disease specialist;

taking a blood test for bacteriological culture;

Ultrasound of the thyroid gland;

collection of urine;

histological analysis (with complicated purulent form).

In a chronic course, the diagnosis includes a series of tests to identify the causes of weakened immunity.

This series diagnostic procedures aimed at excluding pathologies similar in symptomatology. Wolf udder is often confused with fungal infections, manifestations of sexually transmitted diseases, carbuncles, boils, tularemia and pathologies of the lymphatic system.

Therapy Methods

With hydradenitis, a wide range of therapeutic measures is carried out. This complex includes: antibacterial therapy depending on the causative agent of infection, local therapy (painkillers, drugs that accelerate wound healing), surgical excision of abscesses.

In the chronic form, treatment of concomitant diseases and triggers is prescribed.

The method of treatment is developed individually, depending on the stage of the disease. At an early stage, it is necessary to get rid of hair in the focal zone, but without damaging the skin. Wipe the area of infiltration with a disinfectant (calendula tincture, hydrogen peroxide, brilliant green). Do not use drugs that can cause burns(concentrated alcohol, pepper and tinctures of iodine).

After that, it is necessary to apply a bandage or plaster soaked in chlorophyllipt or dioxylin. This procedure must be repeated every 4-6 hours. If after 5 days the infiltrate does not resolve on its own, increases in size and turns into a purulent form, it is necessary to apply antibiotic therapy. Antibiotics are prescribed only when the bough's udder enters the stage of abscess formation.

With self-diagnosis and self-treatment, antibiotic therapy is often useless, due to the resistance of pathogens to the active ingredient of the drug.

For a successful antibiotic therapy discharge is taken, for bacteriological culture, to establish the exact type of bacteria and determine the most effective remedy to eliminate it. Taking medication lasts no more than 10 days.

The complex takes vitamins, corticosteroids and antihistamine ointments. In the chronic stage, the formation of fistulas and scars, surgical excision of foci of infection is used for effective treatment. The operation is carried out under local anesthesia and last no more than 45 minutes, with extensive affected areas.

Treatment at home

There are many "folk" recommendations on how to get rid of the bitch udder, but some of them may be contrary to common sense and aggravate the pathology. If you decide to get rid of the bitch udder without the help of a doctor, you need to know a few basic rules of therapy, and after that resort to folk recipes.

1. When an outgrowth with purulent discharge appears, in no case should warm bandages be applied.
You can not open boils and try to sanitize them yourself.

2. It is impossible to apply ointments and masks directly on open ulcers.

An effective and absolutely safe method of treating hydradenitis without drugs is sunbathing. Just clean your armpit of hair and lie down in the sun. Unfortunately, this method helps only at an early stage of the disease.

You can wipe the foci of inflammation with decoctions and tinctures of herbs with antiseptic properties (calendula, chamomile, St. John's wort, celandine).

Nutrition for hydradenitis

Diet adjustment for hydradenitis is indicated for patients with a chronic form of the disease. who have endocrine disorders.

For overweight people, calorie restriction and a low-carbohydrate diet are indicated.. In addition, they advise avoid fatty and spicy foods. Helps accelerate recovery diet rich in vitamins and fiber.

With purulent hydradenitis, you need to give up sweet and rich pastries, since such products provoke the reproduction of pathogenic bacteria and fungi. Avoid hot and spicy food which causes increased sweating.

Prevention

The basis of preventive measures is the observance of all norms and rules of personal hygiene and careful care of the groin and armpits. In order to avoid diseases, women need to use high-quality machines that do not injure the skin, and products that moisturize the skin before and after shaving. If you cut yourself while shaving, you must immediately treat the wound with an antiseptic.

An important role in the development of the disease is played by the intensity of sweating. Dermatologists recommend washing your armpits more often. Underwear should be made of natural breathable materials, loose fit. In summer, clothing should not create friction in areas of excessive sweating.published.

If you have any questions, ask them

P.S. And remember, just by changing your consumption, we are changing the world together! © econet

The occurrence of hidradenitis under the arm is associated with the development of an inflammatory process in the ductal glands. The disease can occur in young people, children during puberty, in pregnant women. In older people, the disease is rarely diagnosed, due to a decrease in hormonal activity, the production of natural enzymes. The disease is accompanied by abscesses, reminiscent of the appearance of the mammary glands in dogs, so the people quickly dubbed hydradenitis "bitch's udder."

Timely treatment allows you to eliminate the disease without surgery, but even quick therapy does not guarantee that unpleasant symptoms will not recur.

Features of the disease

Hydradenitis is an inflammation of the sweat glands, often caused by staphylococcus bacteria. The defeat of the sweat glands also captures the apocrine glands, which are responsible for normal sweating and giving a unique natural aroma to each person. The occurrence of the disease in the armpit is the most common place of occurrence. Hydradenitis may appear in the inguinal zone, near the navel, on the external genitalia.

Hidradenitis does not differ by gender of patients and can equally occur in both men and women. In addition to the sweat gland, the apocrine gland is affected, which is responsible for natural pheromones (individual human smell). The apocrine gland begins to form precisely during the puberty of a teenager, and ends up functioning normally after 50 years, so hydradenitis cannot occur in children and the elderly. The trigger for the onset of the disease is always an infection. The main difference between hydradenitis and other types of dermatological purulent formations(for example, boils) is considered the absence of a root of dead cells.

Video about the relationship between hydradenitis and deodorants:

Types and classification

Hidradenitis can occur in varying degrees of severity, which depends entirely on the time the patient contacts a dermatologist or surgeon. According to the severity of the course of the disease, hydradenitis can be divided into the following stages:

initial when the process of blockage of the sweat gland has just occurred (swelling, redness, itching and soreness);
middle when the inflamed "nodules" grow, and the pain intensifies;
heavy the degree when the pathological process is characterized by the appearance of purulent abscesses with blood.

The main factors for determining the tactics of treatment is the generally accepted classification not only according to the severity, but also according to the form of the course.

Purulent form (acute process)

The form is characterized by the rapid development of the inflammatory process as a result of blockage of the sebaceous, sweat and apocrine glands. The appearance of abscesses in this form is often the result of insufficient hygiene of the axillary region, skin trauma during depilation.

The course of the disease is identical to the manifestations of the common cold with malaise, fever, which are later joined by soreness in the armpit area. The purulent form poses a serious danger to the life of the patient in the absence of proper treatment.

Chronic (recurring) form

For the development of the chronic form, a long course of the acute process is characteristic. The disease can be promoted by a purulent abscess, which was not completely cured. The chronic form has several stages of development:

I stage(formation of dense nodular formations under the skin, the appearance of pain);
II stage(an increase in nodes, the beginning of their mobility, a change in skin color to a red-blue tint);
III stage(the formation of a purulent viscous composition that breaks the granuloma (capsule) and comes out with blood).

Important! Having correctly determined the stage and development of the disease, the doctor can quickly build the necessary treatment tactics. During treatment acute form hidradenitis speed is important, because a protracted acute process always leads to the formation of a chronic disease.

Reasons for the development of the disease

In surgical dermatology, the main cause of the disease is called a regular moist environment due to excessive sweating sick. Any organic fluids in the human body become a favorable environment for the reproduction of harmful and conditionally harmful bacteria. Malicious microorganisms clog the sweat glands and provoke the occurrence of an acute inflammatory formation. In addition to staphylococcus, hydradenitis can be caused by bacteria of the streptococcus group and others. More often, hydradenitis occurs with the following factors:

weakened immunity of the patient;
hormonal disorders in the body;
diseases of the thyroid or parathyroid gland;
chronic dermatological diseases;
being overweight or obese;
anomalies in the development of sweat glands:
changes in the functioning of the central nervous system;
lack of diet;
taking drugs that suppress the immune system;
starvation or improper diet;
chemotherapy for cancer;
insufficient hygiene;
inaccurate shaving of hairs in the armpit area:
skin trauma;
poor quality hygiene products;
allergic reactions to personal hygiene products (gels, oils, shaving foams, etc.).

There are a lot of factors under which hydradenitis can occur. If the patient is at risk, is overweight or has other diseases that contribute to the development of purulent growths in the armpit, then his chances of getting chronic hidradenitis are quite high.

Signs and features of the course

In the acute and chronic course of hidradenitis, some signs of the disease can differ greatly in severity and in the nature of the manifestations. Inflammation of the sweat glands in the armpit is accompanied by the following conditions:

the occurrence of a small nodule and pain;
an increase in the nodule up to 2 cm;
reddening of the skin;
the appearance of new nodules;
the formation of several nodules in one affected area;
puffiness;
the appearance of swelling and pus;
fever (sometimes up to 39-40 ° C);
a feeling of severe itching mixed with pain;
stiffness of movements.

Important! Severe inflammation may be accompanied by the release of pus with bloody patches from bursting capsules of nodular formations. The danger of a prolonged course of the inflammatory process can result in severe sepsis for the patient (the spread of pus through the bloodstream) and intoxication.

Hydradenitis during pregnancy

Even in the first trimester of pregnancy, a woman's hormonal background changes, immunity naturally decreases, and general weakness appears. The appearance of a disease of a bacterial or viral nature can overshadow the course of pregnancy. The main causes of hidradenitis in pregnant women are considered to be frequent colds or a herpes virus (any herpes virus). It is important for women to observe thorough hygiene of the armpit area, try to use only proven personal hygiene products, refuse to shave with machines or epilators and fight unwanted hairs with soft depilatory creams.

Any potentially traumatic shaving techniques can cause hidradenitis. The emerging hydradenitis always proceeds with severe symptoms, and therefore, if the first signs of the development of the disease occur, you should immediately contact an obstetrician-gynecologist, dermatologist and surgeon. Taking antibiotics during pregnancy is prohibited, but when the threat to the life of the mother outweighs the harm to the fetus from the active substances of the drug, they begin rapid treatment.

Diagnostic methods

Dermatologists and surgeons are engaged in the identification of hidradenitis. Before treatment, it is important to determine the nature of the course of the disease, the form and features of development. There are the following diagnostic methods:

questioning the patient about complaints;
visual inspection of the armpit area;
palpation of seals and pressure on nodules;
determining the appearance of the disease;
blood sampling for biochemical research;
test sampling of purulent material;
urinalysis (if necessary).

Important! The purpose of diagnosis is not only to determine the nature of hidradenitis, but also to separate it from other types of diseases, such as lymphogranulomatosis, chronic lymphadenitis, furunculosis or tuberculosis. If the primary data on the disease is not enough, additional research methods (for example, ultrasound) may be prescribed.

Despite some differences in the course of different forms of hidradenitis, the treatment tactics do not differ significantly. official medicine involves the following types of treatment of the disease:

medication;
operational;
physiotherapy;
folk methods.

It is important to choose the right drugs for local and internal use in order to quickly remove the unpleasant symptoms of hidradenitis.

Treatment with drugs

Medicines can be given as intramuscular or intravenous injections or as tablets. For successful treatment, several targeted medications are prescribed at once, which correspond to the form and stage of the course:

Antibiotics. Tetracycline and macrolide class drugs are prescribed, which have a depressing effect on the development of the inflammatory process (Ceftriaxone, Summed).
Hormonal remedies. Hormones prevent the development of inflammation at various stages of their appearance and are injected into the lesion itself (Prednisolone).
Immunomodulatory drugs. Used to enhance local immunity (gamma globulins). Contraindicated for pregnant women, as they can lead to miscarriage (Viveron, Immudon).
Antiseptics. Appointed to disinfect the skin of the armpits from harmful microflora (Miramistin, Chlorhexidine, Iodinol).

Any drug treatment should be prescribed by specialists. With self-treatment of hidradenitis, you can not only not cure the disease, but also aggravate the course of the disease.

Surgical treatment

Surgical treatment is required for purulent separation with incision of the nodule and installation of drainage. Manipulations help eliminate inflammation and prevent the risk of residual purulent fragments. After wound healing, special therapy with antibiotics and disinfectants is carried out.

Important! Successful and timely treatment helps the patient recover quickly from inflammation, eliminate the risk of unwanted recurrences. Of course, with absolute observance of the rules of hygiene and the treatment of concomitant diseases, which one way or another could contribute to the development of hidradenitis.

Physiotherapy

To speed up the recovery process, doctors prescribe physiotherapy, which includes the following procedures:

UHF procedures;
photochemotherapy;
magnetic laser therapy;
infrared therapy.

All procedures are aimed at postoperative treatment of scars, healing of damaged pores, and alleviation of the general condition of the patient.

Folk methods of treatment

Treatment of hydradenitis with folk remedies can be carried out at the stage of completion of the disease in order to speed up the healing process. For example, decoctions of chamomile, linden, yarrow will help relieve tension from damaged skin, and an infusion of thyme or sage will create antibacterial protection. Well-known folk methods of treatment here will not become a panacea for the inflammatory process.

Herbal infusions and compresses will help to quickly restore the skin after surgery, become additional natural antiseptic preparations for treating armpits.

The doctor talks about the treatment of hydradenitis

Illness lifestyle and diet

It is recommended to combine moderate exercise with breathing exercises. So the body is saturated with oxygen faster, resistance to various bacteria increases. The right lifestyle helps to strengthen the immune system. With purulent hydradenitis, the observance of a special diet and healthy lifestyle life is extremely important. Alcohol and tobacco should be excluded, since during the breakdown of harmful substances (alcohols and resins), their components come out with sweat through the pores. Intoxication does not contribute to a quick recovery.

The dietary table of a patient with hydradenitis should include fresh fruits, vegetables, herbs. In the winter season, you should drink vitamin complexes for general tone. Important products during the period of illness are:

dairy products;
nuts and cereals;
flour products;
meat and fish of low-fat varieties;
vegetables fruits.

In addition, you should observe the correct drinking regimen. The volume of liquid must correspond to the age norm. For example, it is important for an adult to drink about 2 liters of fresh water per day. This allows you to quickly remove the infection and the body, contributes to a speedy recovery.

Prevention and complications

At the base of all preventive measures observance of hygiene standards and rules for the care of the armpits. The main measures include the following:

organization of daily hygiene care;
wearing comfortable clothes;
treatment of hormonal disorders;
prevention of obesity, diabetes;
selection of high-quality cosmetics for the armpit area;
soft shave.

In chronic hydradenitis, it is important to additionally treat the armpit area with boric or camphor alcohol. Especially if the skin is traumatized during shaving. It is worth adding the intake of vitamin complexes in the cold season, clothing according to the weather in the hot months. It is necessary to exclude colds, other infectious diseases that may lead to the development of hidradenitis or its complications. Specific risk factors include:

penetration of a purulent infection into the central bloodstream (sepsis);
development of purulent hydradenitis;
the spread of inflammation to other parts of the body;
the appearance of putrefactive phlegmon (skin formation with pus without pronounced boundaries);
development of lymphadenitis.

It is important to eliminate any inflammatory process in the body quickly and efficiently, because the development of complications against the background of a spreading infection can have serious consequences, up to the development serious illnesses brain and central nervous system. Hydradenitis under the arm has vivid symptoms (pain, swelling, discomfort in the armpits, fever), so the development of the disease can be recognized even before the formation of a purulent form of the disease. Compliance with prevention and attention to your own body will save you from many dangers, including hydradenitis.

Question answer

How to get rid of armpit pain?

If the pain came on suddenly, and it is not possible to see a doctor today, then you can resort to taking Ibuprofen (one of the safest drugs) or apply a cold compress. With hydradenitis, the pain can be severe, so the time to see a doctor is usually found.

What means can be used to remove inflammation?

The use of only one folk methods for any form of hydradenitis will only aggravate the general condition of the patient. Methods traditional medicine will be effective along with the traditional drug treatment. After proper treatment, to accelerate healing, you can make compresses with a decoction of chamomile, celandine, string.

What can become inflamed under the armpit?

Hidradenitis occurs as a result of inflammation of the sweat gland with spread to the apocrine glands. It is their blockage that leads to inflammation, followed by the formation of purulent nodules.

Inflammation of the sweat glands in the armpit is a very common problem, which in medicine is known under the term "hydradenitis". The disease is accompanied by the accumulation of pus in the area of the affected gland, as well as constant discomfort, pain and swelling.

That is why many people are interested in additional information about why inflammation of the sweat glands in the armpit develops. Symptoms, treatment and possible complications - this is information that you definitely need to familiarize yourself with.

Hydradenitis: general information

Hidradenitis is a disease that is accompanied by inflammation of the sweat glands. The glands located in the armpit area are most susceptible to the inflammatory process.

Hidradenitis does not develop in children of preschool and primary school age, as well as in elderly patients. According to statistics, 85% of patients with inflammation of the sweat glands are women aged 16 to 55 years.

Inflammation of the sweat glands in the armpit: causes

Of course, for a start it is worth understanding the causes of the development of the disease, because it is on this that the therapy scheme chosen by the doctor largely depends.

In most cases, inflammation of the sweat glands in the armpit is associated with the activity of pathogenic bacteria. According to statistics, most often the role of the pathogen is played by Staphylococcus aureus. Most often, microorganisms penetrate the gland from the outside, through its duct. This often happens with various skin injuries, for example, during epilation, or shaving, as well as as a result of constant friction of the skin against tissue.

By the way, hyperhidrosis (excessive sweating) is also potentially dangerous. The skin in the armpits is constantly getting wet, the tissues are macerated, which leads to a weakening of the barrier functions. Pathogenic microorganisms in such conditions are much easier to penetrate into the sweat gland or deep skin layers.

Infection, by the way, can enter tissues not only from the external environment. The infection is often spread throughout the body along with the flow of blood and lymph. Of course, this only happens against the background of a weakened immune system.

Main Risk Factors

Of course, inflammation of the sweat glands in the armpit is associated with the activity of staphylococcal infection. However, the likelihood of developing the disease is much higher if the body is severely weakened.

That is why it is worth studying the risk factors:

diabetes mellitus (accompanied by serious hormonal disorders and weakened immunity);
diseases of the endocrine system;
tuberculosis;
the presence of HIV infection, as well as other immunodeficiency conditions;
toxoplasmosis;
helminthic diseases (invasion of pinworms, ascaris, etc.);
rheumatic diseases;
systemic lupus erythematosus;
anemia (tissues do not receive enough oxygen, which weakens their barrier functions);
adherence to a strict diet (this depletes the body, making it more susceptible);
improper nutrition (again, leads to the development of beriberi);
obesity (overweight people often suffer from hormonal disorders and excessive sweating);
severe hypothermia (local or general);
pregnancy period (associated with hormonal changes).

All these diseases significantly weaken the body's defenses, negatively affect the state of immunity, and make the skin more susceptible to infection.

By the way, the inflammatory process can develop against the background of an allergic reaction caused by the use of low-quality cosmetics: antiperspirants, washing gels, etc.

Inflammation of the sweat glands in the armpit: photos and symptoms

As a rule, the development cycle of hidradenitis takes about two weeks. Symptoms of inflammation of the sweat glands in the armpit depend on the stage of development of the disease:

First, a small nodule appears in the armpit - its diameter does not exceed 1-2 cm.
Gradually, the neoplasm grows. There is severe itching, and then pain, which causes a lot of inconvenience to a person.
Small black pimples form around the nodule - these are sebaceous glands, the ducts of which are clogged with a horn plug.
The inflammatory process and the formation of pus is associated with stagnation of blood - as a result of which the skin in the area of \u200b\u200bhydradenitis acquires a reddish color, sometimes with a blue or purple tint.
There are also general symptoms of intoxication. Patients complain of weakness, nausea, joint pain, body aches. The body temperature rises.
The tissues in the armpit swell, which leads to compression of the nerve endings. Patients suffer from sharp, shooting pain that appears during movement in the shoulder joint.
Purulent masses continue to accumulate in soft tissues. Often, white or yellowish pus can be seen under the skin.
In the absence of therapy, the abscess is often opened either arbitrarily or as a result of some kind of injury.
After opening hidradenitis, the patient's condition improves - fever and pain disappear. Nevertheless, it should be understood that the focus of inflammation remains, and in the absence of therapy, the likelihood of a relapse in the near future is very high.

If you have these symptoms, you should immediately consult a doctor. Only a specialist will be able to cleanse the tissues of pus and draw up an effective drug treatment regimen.

Possible Complications

Inflammation of the sweat glands in the armpit responds well to therapy. However, the possibility of complications cannot be ruled out.

Sometimes the purulent process spreads to neighboring soft tissues, which can lead to the development of an abscess, or phlegmon (a large abscess with a dense membrane). If the abscess is not drained in time, it can open on its own. In this case, purulent masses spread to nearby tissues and often enter the systemic circulation. The most dangerous complication of hidradenitis is sepsis (infection of the whole organism is observed).

According to statistics, such complications, as a rule, develop in the absence of therapy. Patients with a severely weakened body and diseases of the immune system are at risk.

Diagnostic measures

You already know about the causes, symptoms of inflammation of the sweat glands in the armpit. If you notice the above violations, you should immediately consult a doctor. Only a specialist will be able to draw up an effective and safe treatment regimen.

Diagnosis of inflammation of the sweat glands in the armpit is rarely associated with any difficulties. It is enough for an experienced doctor to examine the skin in the affected area and listen to the patient's complaints.

Of course, more research is being done in the future. For example, a blood test is informative: an increase in ESR, as well as an increase in the number of leukocytes, indicates the presence of an inflammatory process. In addition, samples obtained from the sweat gland are used for bacteriological culture. So, the doctor has the opportunity to accurately determine the type of pathogen and select the appropriate medication.

If there are frequent relapses, the disease is difficult to treat, then the patient is sent for an immunogram - this allows you to check the functioning of the immune system.

Conservative treatment

Since inflammation is associated with the activity of bacterial microorganisms, the treatment regimen necessarily includes taking antibiotics. Erythromycin and Doxycycline, Tetracycline are effective. Therapy lasts at least two weeks.

The affected tissues, as well as the skin around the abscess, should be treated with antiseptic solutions 2-3 times a day. This will help prevent further spread of bacteria. For disinfection, a salicylic acid solution, tincture of iodine, brilliant green, alcohol are suitable. Also, inflamed tissues are lubricated with Vishnevsky ointment or Levomekol.

If during the tests it was possible to confirm the presence of a staphylococcal infection, then specific therapy can be carried out, in particular, the introduction of staphylococcal gamma globulin. Non-steroidal anti-inflammatory drugs are also used to help cope with pain and fever.

Precautionary measures

You need to understand that infections (especially when it comes to staphylococcus aureus) can quickly spread to neighboring, healthy areas of the skin. That is why the area of hydradenitis must be covered with a dry bandage.

Baths will have to be abandoned for a while. You can only take a shower, having previously sealed the area of \u200b\u200binflammation with a bandage with a plaster. The skin around the abscess should be treated several times a day with antiseptic solutions.

Treatment of inflammation of the sweat glands in the armpit must be supplemented with a proper diet. Meals should be light, but high in calories. In the daily menu, be sure to include foods rich in phosphorus and iron. Various berries, black currants, fermented milk products, nuts, and liver will be useful. Experts recommend drinking fresh fruit juices. Fish and lean meat will be useful, but boiled. From sweets, spicy and fatty foods, alcohol should be abandoned.

Physiotherapy

Drug treatment of inflammation of the gonads in the armpit is necessarily supplemented by physiotherapy procedures. UHF and infrared radiation are considered effective. In addition, local UV therapy, laser therapy and magnetotherapy are sometimes performed. Sometimes patients are prescribed electrophoresis with codeine or dionine. Such procedures, as a rule, are carried out after the inflammatory process has been stopped with the help of medicines.

Surgical intervention: indications and features

Sometimes it is necessary to let the abscess mature, after which the doctor will be able to open it and clear it of purulent masses. Warm, wet compresses are not suitable for this, as this leads to maceration of the skin. Sunbathing is suitable for warming up (in the warm season). You can warm up a terry towel with an iron, which is then applied to the skin in the armpit area.

Warming up abscesses allows you to achieve their maturation and softening. And after that, as a rule, hydradenitis needs to be opened. After tissue incision, the doctor first of all evacuates the purulent masses, after which he carefully removes the infiltrated fatty tissue.

If there are constant relapses, and the cleansing of abscesses and drug therapy do not give the desired effect, then the patient needs more radical treatment. First, the area of hidradenitis is opened and cleaned, but the wound heals in open conditions. The patient takes antibiotics all the time. After the inflammatory process subsides, a complete resection of the skin and subcutaneous tissue is performed. Of course, after this, plastic is needed to help close the defect.

Folk methods of treatment

Treatment of inflammation of the sweat glands in the armpit with folk remedies is also possible, but prescriptions can only be used with the permission of a doctor.

Cabbage has anti-inflammatory properties. Fresh cabbage leaf should be applied to the affected skin, fixed with a bandage and left overnight. To achieve a greater effect, the sheet can be smeared with a small amount of natural honey.
Aloe Vera can also help fight inflammation. Rinse mature leaves thoroughly, rinsing with boiled water, cut lengthwise and apply to the affected skin with the fleshy side. The compress should remain on the skin for several hours. Aloe has antibacterial properties. Moreover, the leaves of the plant draw pus out, accelerating the maturation of the abscess.

How to avoid illness: prevention

The disease responds relatively well to therapy, at least, reviews testify to this. Treatment of inflammation of the sweat glands in the armpit in most cases ends in complete recovery. But following some recommendations will help prevent the development of hydradenitis:

It is important to carefully observe the rules of personal hygiene, especially if you suffer from excessive sweating.
Remember that the infection can be introduced during epilation, or shaving the armpits.
It is better to give preference to fairly spacious clothing made from natural fabrics (constant friction in the armpits is a risk factor).
Responsibly treat the choice of cosmetics and deodorants.

Of course, do not forget about strengthening the immune system. Proper nutrition, physical activity, periodic intake of vitamins - all this will help increase the resistance of skin tissues and various types of infection.

Armpit inflammation can occur due to poor hygiene or as a result of a serious illness. The article describes the possible causes of inflammation, symptoms and treatments.

Due to the accumulation of sweat and sebaceous glands, the location of the lymph nodes, the armpits are vulnerable to various kinds of inflammation. Most often, inflammation is accompanied by pain, redness, thickening under the skin. Depending on the cause of the disease, the tactics of treating the patient will also be chosen.

Causes of armpit inflammation

Inflammation in the armpit is not always a symptom of the disease. It is relatively easy to cure inflammation that has arisen for the following reasons:

Use of other people's hygiene products. Inflammation in this case develops due to the ingress of foreign microflora, in which pathogens may be present.
Allergic reaction to skin care products. Sensitive skin armpit with an abundance of nerve endings and accumulation of blood vessels often reacts to the composition of shower gels, antiperspirants, toilet soap. The result is redness, swelling, irritation, and sometimes itching.
Depilation. The most common cause of inflammation that is not associated with a disease. Microcracks after shaving the hair in this area often cause irritation. Especially in women who carry out the epilation procedure during the period menstrual cycle when the skin is extremely sensitive. Pain and inflammation also occur in lovers of hair removal with wax, electric epilator and tweezers.
Misuse of antiperspirants. Applying an antiperspirant immediately after a bath and before an intense workout blocks the sweat glands, leading to swelling and inflammation.

If inflammation of the armpit appeared in a nursing mother, then the woman probably begins mastitis or milk stasis. Diseases that are accompanied by inflammation in the armpits include:

Lymphadenitis - inflammation lymph nodes caused by infectious diseases
Hidradenitis - blockage of the sweat gland as a result of bacterial infection, most often by staphylococcus aureus
Atheroma - benign cyst of the sebaceous duct
Furuncle. Purulent inflammation of the hair follicle caused by Staphylococcus aureus

Define true reason inflammation is necessary in the doctor's office, since self-medication in this situation will only aggravate the state of health.

Signs of the disease

There are a number of symptoms that signal the presence of the disease. The following signs will indicate axillary lymphadenitis:

Why do armpits hurt

At the first stage, the lymph nodes increase slightly, discomfort in the armpit does not bring pain.
Inflammation and redness of the node indicates a transition to a serous form: the flesh becomes hot, swollen, it hurts to touch it, the node increases in size, while the general state of health does not get worse.
If you ignore this stage of lymphadenitis, it turns into a purulent form. The lymph nodes begin to fester, the body temperature rises, a breakthrough of pus at the site of inflammation through the fistula is possible.
Lymphadenitis mainly occurs against the background of infectious diseases: SARS, influenza, measles. Therefore, the patient should pay attention to the swelling of the armpit during the treatment of other diseases.

Symptoms of another cause of armpit inflammation, hidradenitis, include:

itching and swelling in the armpit
gradual increase in pain
formation of a seal ranging in size from a few millimeters to 2 cm
simultaneous increase in compaction and intensity of pain
if several glands are involved in the process, then the foci of inflammation merge into one dense lump

Against the background of flowing hidradenitis, the patient has an increase in body temperature up to 38.5 °, signs of intoxication, weakness. The skin at the site of inflammation becomes cyanotic or purple-red. After 10-15 days, the abscess with an admixture of blood breaks out.

Signs of hidradenitis are similar to a boil. The difference between a boil: the disease begins with a rash in the armpit, redness of the skin and the formation of one purulent rod. With atheroma, a painful dense ball is felt in the armpit, the skin turns red only if an infection is attached.

Due to the abundance of similar symptoms, it is necessary to diagnose the cause of inflammation in the armpit with a qualified dermatologist or therapist.

Treatment Methods

Effective Treatments

If the cause of the inflammation is an allergy to cosmetics, then specific treatment not required. Usually it is enough to change the antiperspirant or gel to a hypoallergenic analogue and the inflammation goes away on its own.

You can get rid of irritation after shaving with baby powder or talcum powder. Prevent inflammation baths with decoctions of medicinal plants with a natural anti-inflammatory effect: chamomile, succession, calendula, coltsfoot, aloe.

In the case of inflammation in the armpit, caused by an infectious disease, the treatment will be much more serious.

Hidradenitis, detected at the initial stage, is usually amenable to conservative therapy:

Use of antibiotics (most commonly amoxicillin, ampicillin, or erythromycin)
Taking painkillers (Nimesulide, Ketorol)
Treatment of the focus of inflammation with tetracycline ointment, Levomekol, Neomycin, boric alcohol, salicylic acid

Usually, the treatment of axillary hidradenitis takes about 14 days. If it does not bring results, the abscess is opened by surgeons. It is strictly forbidden to open the inflammation on your own: negligence and lack of disinfection can provoke blood poisoning.

After removing the abscess, the armpit wound is cleaned of pus and a bandage with an antiseptic (chlorhexidine) is applied. During the period of treatment, the patient is recommended to follow a diet with a restriction of spicy and smoked foods, as well as alcohol.

Treatment of axillary lymphadenitis depends on the stage at which the disease is detected. Inflammation of the lymph nodes without purulent contents can be cured conservatively. First of all, it is necessary to eliminate the primary source of infection, since the lymph nodes become inflamed against the background of infectious diseases.

If lymphadenitis has already passed into the purulent stage, then the inflamed node in the armpit will have to be opened: abscesses, abscesses must be cleared of the contents. Be sure to prescribe broad-spectrum antibiotics and ointments for local use (Tibon or Tubazid), compresses with streptomycin.

Treatment of armpit inflammation should be entrusted to a doctor: self-medication in case of serious forms of diseases will inevitably lead to surgical intervention.

The disease requires mandatory treatment, often surgical. With untimely seeking medical help, hydradenitis can result in a number of complications.

Features of the disease

This anatomical feature explains why the ICD10 classifies hydradenitis as a disease of the hair follicles, although the true inflammatory process occurs in the sweat ducts.

Appearance

Calling armpit hydradenitis a bitch udder, people probably meant the external similarity of inflamed bumps to dog nipples.

Age dependence

sex addiction

It is noticed that hydradenitis in the armpits mainly pursues the fairer sex. The disease is more susceptible to young girls of puberty and women of postmenopausal age. Often, pathology develops in pregnant women and young mothers in the first month after childbirth.

Classification

Clinical medicine considers several variants of armpit hydradenitis:

Acute form with suppuration. It proceeds brightly and without appropriate medical care can result in a mass of complications. Occurs against the background of insufficient hygiene of the armpits.
Chronic inflammation. It develops for a long time, with constant remissions and repeated exacerbations. The affected area gradually increases. Lack of treatment is dangerous for the development of sepsis.
Nodular hydradenitis. It occurs due to inaccurate shaving of the armpits. With untimely medical care, it threatens to develop into a purulent one.

Each of the stages of axillary inflammation lasts from 10 to 14 days and ends with recovery or transition to a more complex phase.

Symptoms and stages

Further symptoms of armpit hydradenitis depend on the stage of the disease:

While the infiltrate is being formed, and it takes 7-10 days, the patient experiences general malaise, fatigue, lethargy, and a temperature of 37.2-37.8 ° C is possible.
At the acute stage, the size of the inflamed node can reach 3-5 cm in diameter. The bump fills with pus, becomes purple-blue in color and causes severe pain. The temperature rises to 38-40 ° C, the tissues around the focus itch, stretch and shine glossy.
At the peak of inflammation, the node acquires a conical shape. In the absence of qualified assistance, the abscess may spontaneously open, forming a fistula.
After a few days, the symptoms of hidradenitis subside, the bump becomes soft and pus begins to come out through the hole formed.

Causes

Sometimes armpit hydradenitis occurs as a hereditary disease, but more often it develops under the influence of provoking factors:

increased sweating;
insufficient body hygiene;
hormonal surges;
injury to the armpit area with a narrow sleeve, synthetic clothing, a dull razor;
state of stress;
poor immunity;
work in hot climates;
endocrine disorders.

In pregnant women, armpit hydradenitis often occurs due to hormonal failure or weakened immunity. Then any cold or hypothermia can provoke inflammation and suppuration of the sweat glands.

Which doctor treats hydradenitis under the arm

Diagnostics

Any form of armpit hydradenitis needs laboratory research, since external examination and palpation do not always allow to differentiate the bough udder and make the correct diagnosis.

Bacteriological examination will help to verify the presence of inflammation of the sweat glands. The analysis identifies the pathogen and determines which antibiotics it is most susceptible to.

Material for bacteriology is taken at the time of opening the abscess or from an already formed wound. In sowing, Escherichia coli, Proteus, streptococci or staphylococci are most often found.

In chronic hydradenitis of the armpits, the patient is prescribed an immunogram. The study shows at what level the immunity is and whether supportive therapy is required or not.

Treatment

Therapeutic methods

You can resort to therapeutic measures immediately after making a diagnosis, which implies the isolation of hydradenitis from carbunculosis, lymphadenitis or furunculosis.

Such treatment is especially effective at the initial stage of the disease. It includes the complete removal of hair in the armpit area and daily rubbing of the affected area with an alcohol solution.

There are other equally effective ways to deal with hydradenitis:

exposure to dry heat - applying a towel heated with an iron to sore spots. The procedure can be performed 3-4 times a day;
warming the armpit area with sunlight or an ultraviolet lamp.

Such procedures slow down the development of hydradenitis and accelerate the resorption of cones.

Medicines

To reduce suppuration, pure ichthyol is applied topically, the skin around the site of inflammation is wiped with tincture of calendula or salicylic alcohol.

As a symptomatic treatment for armpit hydradenitis, vitamin complexes are prescribed, with active progression of hydradenitis, anti-staphylococcal plasma, bacteriophage, immunoglobulin or toxoid are used. It is possible to introduce a protein blood substitute.

Surgery

With a large area of the lesion, the doctor excises the inflamed tissue and transplants the removed skin area.

Folk methods

With armpit hydradenitis, alternative medicine can also help, but only in the initial stages of inflammation.

To eliminate the disease most often used:

cakes with flour and honey;
fresh leaves of white cabbage or plantain;
dressings made of oatmeal with kefir or sour cream;
boiled onion;
a mixture of honey, egg yolks and white flour.

All of these funds should be used after consulting a doctor. With active suppuration and inflammation of the infiltrate, it is better to refuse non-traditional treatment.

Complications

Severe axillary hidradenitis causes quite serious consequences, for example:

deterioration of lymphatic drainage;
scars, scars and various tissue changes, leading to limited mobility of the hand;
repeated infections;
depression, social isolation.

Rarely, armpit hidradenitis develops into squamous cell skin cancer. This prognosis is more typical for patients over 60 years of age.

Prevention

Someone may need to reconsider the process of shaving underarms - replace the machine, use a special foam or gel, treat the skin with antiseptics after the procedure.

Useful video about the treatment of hidradenitis under the arm

Complications of the disease are:

Inflammation of the lymphatic vessels and lymph nodes.
On the side of hidradenitis, sometimes lymphedema develops - swelling of the soft tissues of the upper limb on the side of hidradenitis.
With the spread of inflammation to the subcutaneous tissue, phlegmon develops.

Rice. 8. In the photo, the consequences of hydradenitis under the arm are hypertrophic and keloid scars.

Rice. 9. At the site of inflammation of the sweat glands under the arm, ugly, retracted scars often form.

Rice. 10. In the photo, inflammation of the lymphatic vessels, as a result of a boil, carbuncle, abscess or hydradenitis.

There are three forms of the disease. Allocate hidradenitis non-purulent, purulent and chronic.

Non-purulent hidradenitis is characterized by the absence of signs of inflammation. With this form, there is only a slight swelling, a dense nodule that does not cause discomfort (sometimes there is pain that disappears with time).

The purulent form is characterized by the presence of all clinical manifestations diseases. The picture of the disease is stormy with severe pain and symptoms of intoxication.

Chronic hidradenitis is characterized by a regular return of the disease. Most often appears in people with weakened immune systems or against the background of hormonal fluctuations. As a rule, when the underlying disease is eliminated, the pathology ceases to disturb the person.

The places of occurrence of hydradenitis are the zones of location of apocrine sweat glands. The most common inflammation in the armpits. In second place are the genital, perianal (in men) areas and the area under the mammary glands (in women).

Most often, hidradenitis appears in the axillary zone.

The initial stage of the disease is the penetration of infectious agents into the duct of the sweat gland. As a result of their increased reproduction and disruption of the processes of desquamation of the surface epithelium, the output of the secreted fluid is first disturbed, and then completely stops due to blockage of the outlet.

In the process of development, the seal gradually begins to swell, itch, and then turn red, while pain in the places of localization increases every day, becoming more and more intense. This is the active phase of inflammation. In addition, the patient has an elevated temperature from subfebrile values to high (from 37.5 to 39-40 ° C), increased weakness, drowsiness and lethargy are observed, dizziness, headaches and nausea are possible.

Then the abscess breaks, and its contents come out. The bacteria contained in its composition enter the clean skin, penetrating the healthy gland ducts. Then history repeats itself. Thus, more and more new areas are involved in the process. The tissues become edematous and acquire a bluish-purple hue.

Many people know that any disease is best treated in the initial stages of development. It is at the first stage of the formation of the infectious process that hidradenitis responds well to conservative therapy, which avoids surgical intervention and further complications. Surgeons are engaged in the treatment of such pathology. It is to these specialists that you need to contact when you find seals that look like a bough udder.

Non-surgical treatment consists of drug therapy, adherence to dietary recommendations and physiotherapy.

Hydradenitis under the arm is an inflammation of the apocrine sweat glands. Pathological processes are most often associated with the penetration of Staphylococcus aureus or bacteria of the streptococcal group. Pus begins to accumulate, a knot of burgundy or cyanotic color is formed. The site of inflammation hurts, burns, swells and brings a lot of discomfort.

Factors that provoke the disease:

decreased immunity;
diseases of the endocrine system;
skin diseases;
frequent use of deodorant;
non-compliance with hygiene rules.

When you detect the first symptoms, you need to know some rules that will help prevent the spread of infection:

You can't wash in the bathroom. It is allowed to take only a shower, but first you need to seal the affected area with a band-aid.
After a shower, you can treat the place with a weak solution of potassium permanganate.
You can’t shave the place; around the inflammation, the hair is only carefully trimmed.
Avoid tight clothing made from synthetic fabrics.
Change towel and underwear follows every day.

You can not squeeze out the pus on your own, only the surgeon does this. Be sure to find the cause of hidradenitis in order to prevent re-inflammation.

At home, to alleviate the condition and speed up the healing process, you can use compresses, lotions that can draw out pus and eliminate inflammation. Immunity boosters are used.

The ICD-10 code (international classifier of diseases) for axillary hydradenitis is L 73.2 (pathology of the skin appendages). The people call the disease "bitch's udder", because the skin abscesses under the armpits look like dog nipples.

Type of hydradenitis	Symptoms	Peculiarities
Acute purulent	Temperature up to 38 degrees, discomfort, turning into armpit pain.	People who do not observe the hygiene of the axillary region are susceptible to this disease. The deviation is manifested by clogging of the apocrine and sebaceous glands. The purulent form, if the patient does not consult a doctor, can become a threat to life, since the infection can spread throughout the body.
Chronic	Exacerbations with specific symptoms of an acute illness are replaced by relapses.	With each exacerbation, the area of inflamed apocrine glands increases. Without treatment, there is a danger of sepsis with a fatal outcome.

In addition to the armpit area, hidradenitis can appear in the groin, on the neck and under the breasts.

IN separate form emit suppurative hidradenitis, also referred to as inverse acne. The inflammatory process occurs against the background of acne after puberty. It can even appear on the face.

The structure of the sweat glands.

There are other risk factors for the inflammatory process:

a sharp decrease in immune defense;
the use of immunosuppressants and hormonal pharmaceuticals;
various deviations of the endocrine system;
low-calorie diets;
excess weight;
streptoderma and dermatoses.

The disease is quite rare in the elderly, since the activity of the sweat glands is inhibited with age. Girls and women are more likely to suffer from the disease due to functional features organism. During hormonal surges in women ( puberty, pregnancy, menopause) the risk of hidradenitis increases.

It provokes the development of dermatological pathology, such an infectious agent as staphylococcus aureus. A bacterium that accidentally enters the sweat gland contributes to the development of the inflammatory process.

It has been noted that purulent inflammation of the sweat glands is more common in the female population than in the male population. To a greater extent, the disease is affected by the age category up to 35 years, since it is during this period of life that the most active work of the sweat glands is observed.

It is possible to describe the disease for a long time, but to complete the picture of perception, we will demonstrate a photo of hydradenitis under the arm. Depending on the stage of development, the bitch udder has certain external manifestations. So, in the photo of hydradenitis at the initial stage (given below), when the inflammatory process has just begun, puffiness and small formations are striking, which will increase over time.

But, the last stage of hydradenitis (photo) looks like this.

At the last stage of hydradenitis, fluid begins to stand out from the formations. Initially, a purulent focus is formed, then the abscess breaks through. The last step is scarring. The resulting wounds must be treated, as complications may arise in the form of:

lymphadenitis, when the lymph nodes under the arm become inflamed;
phlegmon, when purulent inflammation spreads to nearby skin;
sepsis (blood poisoning), which can be fatal.

The first to appear is a small nodule that grows rapidly. On palpation, it can be determined that the formation is located inside the thickness of the skin. With an increase in the node or nodes, they "move" outward, and painful aching sensations increase in geometric progression. The neoplasm acquires a purple-red, then a bluish-violet color. The person has the following symptoms:

fever, in some cases up to 40 degrees;
general weakness;
enlarged lymph nodes;
there is a headache;
due to pain, hand movements and crying are quite limited.

Factors causing the development of the disease

Hidradenitis is a skin disease that is expressed by inflammatory processes of a purulent nature. They appear as a result of penetration into the ducts of the sweat glands of varieties of pyogenic cocci. Favorable for the development of pathogenic microorganisms is sweat, in which viruses, fungi, and pathogenic bacteria actively multiply. The following reasons contribute to the development of hydradenitis:

weakening of the immune system;
hormonal imbalances;
endocrine pathologies;
dermatoses;
streptoderma;
chronic or autoimmune diseases.

External causes that may contribute to the development of pathology include:

shaving, after which microcracks remain on the skin, into which bacteria can enter, contributing to the progression of the infection;
frequent use of an antiperspirant: it clogs the ducts of the sweat glands, disrupting their functioning.

Patients with:

SARS;
chronic diseases;
diagnosed with AIDS, hepatitis;
overweight;
diabetes
dermatitis.

1) synthetic tight clothes; 2) increased sweating; 3) decreased immunity; 4) trauma to the armpit during shaving; 5) allergic skin reaction to deodorants. 6) heredity; ) excess weight

Intense hyperhidrosis can cause hidradenitis

The main causes of hydradenitis are as follows:

violation of the integrity of the skin;
excessive hyperhidrosis;
internal pathologies;
weakened immunity.

During shaving, the skin is often damaged, which further leads to the penetration of bacteria. Excessive hyperhidrosis leads to a decrease in the local immune response, which causes the development of the disease.

With such internal pathologies like diabetes mellitus, endocrine disorders and overweight, the protective functions of the body suffer, so bacteria freely penetrate through the pores of the skin.

The bitch udder of the cause of the appearance, which can be varied, should be treated in time, as the disease threatens with further complications.

Symptoms of the disease

For such a disease, a certain stage in development is characteristic. The main stages of its formation are the following:

Initially, a nodule appears on the skin. It itches quite strongly. When pressed on it, pain occurs.
Gradually, the nodule increases in size. It can reach up to 2 cm in diameter. Such an increase in the nodule is accompanied by the development general symptoms. As a result, a person's body temperature may rise, weakness and headaches appear.
In the future, in the area of development of hydradenitis, the inflammatory process passes to the nearby skin. As a result, the patient's local temperature rises above the nodule. The skin becomes reddish, and touching them causes quite severe pain.

Often, with hydradenitis, symptoms of general intoxication of the body appear: fever and weakness

With timely treatment of hidradenitis, a gradual reverse development of the disease occurs. If the measures were taken too late or no therapeutic measures were taken at all, then the patient may experience complications.

Doctors pay attention to the fact that the disease is more often unilateral. But, as with any rule, there are exceptions. Purulent hydradenitis begins in the areas where the apocrine glands are located, which are responsible for removing and cleansing the body of sweat. With bilateral leakage, dense unpleasant knots may appear on the skin.

They cause itching and irritation. The nodes begin to develop, increasing in size. Pain appears. And they are felt not only when the patient moves. Even a static position does not remove the pain. Sharp pain occurs when pressing on the nodes. The size of the nodules reaches 1.5 cm. The shape of the node is pear-shaped.

Skin color changes around the seals. It becomes unpleasant, painful blue or bright red. The nodes swell, begin to hang over healthy areas. Nodular lesions, close to each other, gradually merge into one. Such a soldered connection of nodes resembles a disk. Density is gradually lost.

Knots become softer. A purulent wound opens in the central part. More often, fluid comes out, accompanied by blood. Hidradenitis is difficult to confuse with a boil. The bitch udder has a necrotic core inside. The pus is thicker than in a boil. It looks like thick sour cream. Hydradenitis is inflammation. Therefore, the clinical picture is close to such processes.

The opening of the node occurs approximately 7 days after its first manifestation, but not detection. The release of pus improves the patient's condition. Pain is gone. An ulcer appears at the site of the opening of the wound, with proper treatment it will heal. Traces will remain - scars from the defeat and split of the skin. They will require a different system of therapy.

Painful symptoms do not appear in childhood and in the elderly. This fact is explained by the insufficiency of the functioning of the sweat glands. A greater number of cases of diagnosing the disease was recorded in women. The age of patients at risk is from 15 to 55 years. Statistical data give a figure - 85% of all pathologies registered by physicians.

Symptoms:

the appearance of painful nodules;
increase in body temperature;
development in the nodes of abscesses;
general weakness of the body;
feeling unwell.

Purulent inflammation of the sweat glands involves passing through a full cycle of development. On average, it is 14 days. Some wounds are healing, others are just beginning to form. Inflammation develops throughout the body, affecting the patient more and more. If the treatment of hidradenitis is not started, it will go into a chronic stage of development.

Sometimes patients notice a temporary stop in the appearance of new pathologies. They see it as a recovery. Most often, a relapse occurs after a while. Medical data give examples of the course of diseases when the virus escalates up to 10 times. Treatment of a bitch udder does not tolerate delays and mistakes in the choice of means.

Non-compliance with hygiene procedures and associated pathological processes can worsen the patient's condition.

Usually the cause of complications is a reduced level of the protective barrier - immunity. The disease is aggravated by an incorrectly chosen system, the use of independent recipes and remedies.

Possible complications:

spread to adjacent tissues;
abscess;
phlegmon;
blood infection;
sepsis.

Treatment of hidradenitis begins with a diagnostic procedure. At the first suspicion of a malfunctioning sweat gland, a specialist is visited.

You will need to pass several important tests and checks:

Blood content. The speed of movement of the ESR is checked (normal or there is a noticeable acceleration). The level and number of leukocyte cells is established.
Appointed reception strong medical preparations, drowning out the focus of infection, antibiotics.
Sowing is taken from the secretions on the skin by the sweat glands.
Immunogram is carried out.

Antibiotics are prescribed after studying the content of the crop. Research is aimed at studying susceptibility to anti-inflammatory drugs. The attending physician will choose the option of how to treat hidradenitis according to the individual characteristics of the patient.

An immunogram is prescribed for severe forms of the course, the transition of the disease to a dangerous stage, or the absence of timely medical treatment.

Hidradenitis is a purulent inflammation that develops in the ducts of the apocrine glands. Usually, the ducts under the armpits are subject to this process, less often such a pathology occurs in the inguinal region, in the folds under the breast, in the anus region. The clinical picture is very similar to furunculosis manifestations. For hidradenitis, the absence of necrotic (purulent) rods is characteristic, and this is what distinguishes it from furunculosis.

In case of violation of the integrity of the skin, pathogens (golden and white staphylococci) enter the wounds, where they actively develop. There is a blockage of the duct by a corneal plug. The produced secret accumulates, stretching the gland, provoking the growth of education.

Initially, small dense nodules appear on the skin under the arm, which are located inside the thickness of the epidermis. During the maturation of these formations, a person may feel increased soreness and unbearable itching.

Further, these nodules become larger and reach a diameter of up to 1.5 cm. After their compaction is observed, adhesions protrude over the skin, which acquire a burgundy-cyanotic hue. Puffiness appears, pain increases. Over time, the nodes join each other, merging into a huge neoplasm. Medicine calls it a filtrate. If you do not take any action for treatment, then symptoms of general intoxication of the body will appear.

After the nodes "ripen", it takes from 7 to 12 days, the process of softening and opening takes place. Getting rid of pus significantly reduces local pain and improves the general condition of the patient. The ulcer that appears is delayed, and in its place a retracted scar is formed. If the therapy is chosen incorrectly or the rules of personal hygiene are not observed, then the adjacent ducts of the apocrine glands will be involved in the inflammatory process, and relapses cannot be avoided.

Pathology can appear in people aged 16 to 55–60 years. This is due to the fact that the functioning of the apocrine glands begins during puberty and fades away at the onset of menopause.

An increase in the affected area indicates the development of hydradenitis

In the first days of the development of a purulent process, a person gropes for a small seal in the form of a nodule in the affected area. After a few days, the seal begins to become larger and larger in size, acquiring a nipple-like shape. This symptom is one of the main in purulent disease of the sweat gland.

In addition, hydradenitis symptoms are of a different nature. In addition to growth, the patient also has other signs:

itching in the affected area;
pain on palpation;
temperature increase.

Full maturation of the purulent nipple takes place on the seventh to tenth day after the onset of the infectious process. The growth is opened, and a white mass with an admixture of blood pours out of it. After that, the pain subsides, and overall well-being improves. A scar subsequently remains in the area of the opened nipple.

Description of the disease

Currently, doctors distinguish several forms of this disease. The main types among them are the following:

Purulent.
Axillary.
Recurrent.

Purulent hydradenitis most often occurs in those people who ignore the rules of personal hygiene. Such a disease develops with blockage of the apocrine and sebaceous glands.

The main cause of hidradenitis under the arm is trauma to the apocrine glands during shaving. In the vast majority of cases, the causative agent of this pathology is Staphylococcus aureus.

Often, axillary hydradenitis is manifested by multiple lesions

Recurrent hidradenitis is a chronic disease, manifested by the periodic occurrence and disappearance of clinical symptoms. Treatment of such a pathology usually takes longer.

As mentioned above, hidradenitis, the causes of which can lead to complications, threatens the development of an abscess. In patients with a weakened immune system, this process can go further and lead to the development of sepsia, which is a general purulent infection. Against the background of this disease, the patient experiences a sharp increase in temperature, fever, signs of intoxication of the body and damage to individual organs. Such a pathology requires serious medical intervention with the use of powerful antibacterial therapy.

Hydradenitis is an infectious inflammatory process of apocrine sweat glands in the deep layers of the skin. Most often, this disease occurs in people during the period of the highest hormonal activity, so children and the elderly are not affected by this pathology. Localization of the affected areas is observed in the armpits, around the anus, on the female and male genital organs, in the groin, less often on the face, near the umbilical and near-nipple zone.

"Bitch udder" under the arm is often observed in women and is unilateral, rarely bilateral. Inflammation of the sweat glands is promoted by scratches and abrasions after depilation, the use of tight synthetic clothing, and neglect of personal hygiene.

Inguinal hidradenitis occurs during or after puberty. But depending on the characteristics of the physiology and the state of the endocrine system, it can also be observed at a more mature age in both sexes. In addition to the groin, the udder is also formed on the labia majora in women, and on the scrotum in men. The fair sex is more at risk of developing a disease in this zone, as they get rid of unwanted hair who are they.

The disease is aggravated by the constant wearing of tight underwear and the presence of skin folds, which causes friction and the appearance of new abscesses. If treatment is refused, it flows from an acute to a chronic form with the occurrence of fistulas and phlegmon, problems with the urethra, bladder and rectum.

Hormonal and endocrine changes during pregnancy can cause the disease. The body of a pregnant woman is especially susceptible to various infections. At the first symptoms of pathology, it is urgent to consult a doctor, as pathogens can adversely affect the development of the fetus.

There are several factors that cause inflammation of the apocrine glands:

hormonal changes during pregnancy;
staph infection;
decreased immunity;
damage to the skin when shaving;
use of deodorants containing talc;
gonadal dysfunction.

Course of the disease

At the very beginning of the disease, a slight edema appears, accompanied by itching. In the future, this area becomes painful, an abscess is formed. There is hyperemia of the skin, after a while the affected area acquires a bluish tint. The purulent bump increases in size and looks like a dog's udder during lactation. Because of this, it has the common name "bitch" or "wolf" udder.

The inflammatory process is accompanied by fever, weakness, increased pain in the affected area. With inflammation, nodules are formed that can twist one large abscess. Gradually, the swelling becomes soft, exudative fluid mixed with blood, which has an unpleasant odor, is released from it.

Diagnosis of the wolf's udder is not difficult due to the clinical picture characteristic of this disease. During the examination, it is very important to distinguish hydradenitis from furunculosis and tuberculosis of the lymph nodes. At the initial stage, a general blood test is performed. During the development of hidradenitis, an accelerated ESR and an increase in the content of leukocytes are observed.

Is there proper nutrition for hydradenitis? Of course, it will be necessary to adhere to a balanced diet for three months. The food should contain as many vitamins and microelements as possible, a wide variety of means to maintain the strength of the body.

Enrich your diet with vitamin B foods

The principles of proper eating with hydradenitis:

Since with such a disease the body weakens, it is necessary to fill it with vitamins and microelements.

In addition, you should take funds to raise immunity. For example: tincture of sea buckthorn and ginseng, preparations based on dry and brewer's yeast.

Avoid sweets and other junk food

sweets;
Fatty and fried;
Spicy and too salty.

If the sweat gland is destroyed and an abscess has formed, surgery will be required. If the bitch udder is represented by one abscess, then local anesthesia, the wound is treated with an antiseptic and antibiotic. A rubber drainage is installed for a day, designed to remove the liquid. Preparation for the operation is not needed, on the same day the patient returns home. The doctor will tell you how to protect the wound from inflammation. It will take a week to heal.

If hidradenitis constantly recurs, the doctor will remove the affected gland. After the operation, a bandage with medicine is applied to the wound. Ten days later, the wound heals and a small scar forms. In rare cases, patients have more than one abscess focus, but many small ones. Then the operation is performed under general anesthesia with implantation of a piece of skin from a healthy area on the affected area.

Main danger surgical treatment in the possibility of complications. After the first operation, with an insufficient level of hygiene, re-infection occurs. With repeated repetition of such a situation, it is necessary to remove the gland, which contributes to the disruption of metabolic processes in the body.

Hydradenitis in children develops in adolescence, when the process of puberty occurs with a change in hormonal levels.

Provoking factors are also long-term infectious diseases, excessive sweating, skin diaper rash, and poor personal hygiene.

You can not self-medicate, exposing children to the risk of severe hydradenitis and possible complications.

The teenager needs to be shown to the pediatrician, who will decide on the need for further action:

if the process is at the very beginning and there are no signs of general malaise, local therapy can help. The patient is prescribed antibiotics and external agents;
perhaps the doctor will refer the child to a surgeon to remove abscesses and further rehabilitation therapy.

During the recovery period, the patient needs rest, rest, a balanced diet, taking vitamins. If necessary, the teenager is prescribed physiotherapy procedures.

In general, the treatment regimen is similar to that used in adults. But the use of drugs is required according to the age of the child and in the appropriate dosage.

If there are frequent recurrences of hidradenitis, the teenager should undergo a complete examination to identify the causes of such a pathology - these can be chronic diseases or metabolic disorders in the body.

Differential Diagnosis

A blood test will help confirm hidradenitis

Hydradenitis bough udder should not be confused with such dermatological pathologies as furuncle, lymphadenitis and tuberculosis.

To exclude the above pathologies, the dermatologist conducts an examination and prescribes a differential diagnosis. To determine the presence of hidradenitis allows a blood test.

Hidradenitis should be differentiated from boils, carbuncles, lymphadenitis, lymphogranulomatosis and tuberculosis. An experienced specialist, based on external signs and general symptoms, will easily make the correct diagnosis. Nevertheless, there are times when it is necessary to conduct a number of additional studies that will help confirm the opinion of the doctor. Usually assigned:

General blood analysis. Hidradenitis is characterized by an increase in indicators of general inflammation, namely, the erythrocyte sedimentation rate (ESR) and lymphocytes.
Bacterial culture of purulent masses. With its help, you can find out the causative agent of the disease and what antibacterial drugs help fight it.
Immunographic study (immunogram). It is most often carried out in cases of frequent occurrence of the disease.

To prescribe adequate treatment for hidradenitis, the method of differential diagnosis should be used with furuncle, carbuncle, lymphadenitis and felinosis in the early stages of the development of the disease, and venereal lymphogranuloma, donovaz, scrofuloderma and actinomycosis in the later stages of the disease.

Rice. 11. The photo shows an enlarged lymph node in the armpit (left) and a boil (right).

Traditional medicine against hydradenitis

Treatment of hydradenitis with folk remedies is possible only at the beginning of the disease. Note that alternative medicine is effective only in combination with conservative treatment.

Before using any remedy, you should consult your doctor. Distinguish means for external use and ingestion. Let's consider each of them in more detail.

Treatment of hidradenitis with traditional medicine has many contraindications.
Before using any technique, you should consult with a dermatologist or herbalist.

It is much easier to prevent the disease than to wonder how to treat hydradenitis
.

With hydradenitis, nutrition plays an important role. The diet should consist of foods rich in iron, phosphorus, as well as vitamins A, C, E, B1, B2, B6.

Regular prevention of hidradenitis improves the activity of the sweat glands and the general condition of the body.

Hidradenitis, which appeared in the armpit, brings many problems. Treatment of the disease must begin in the early stages. The doctor will select the correct treatment regimen.

Traditional medicine can only supplement the main treatment. For the treatment of hidradenitis at home, you can use the drug method and alternative medicine.

Simultaneously with the treatment of hidradenitis, it is necessary to eliminate other foci of the spread of infection (sick teeth, cholecystitis, inflamed appendages, obsessive otitis media).

Furuncle under the arm should be distinguished from hydradenitis. A furuncle is a purulent inflammation of the hair follicle of the skin, and hydradenitis is an inflammation of the sweat glands. But the causes and symptoms are the same, so the methods of treatment are similar. Moreover, folk remedies for the treatment of hydradenitis are often much more effective than the means of the official medicine. Below are many examples of how we managed to cure the "bitch udder" and avoid surgery. Recipes taken from the newspaper "Bulletin of healthy lifestyle"

(popularly a disease of a bough udder) is an acute purulent inflammation of the sweat glands. The cause of the disease is staphylococcus bacteria. Most often, the disease manifests itself in the form of a furuncle under the arm, less often localized around the nipples, navel, in the perineum

Causes of hydradenitis:
1) synthetic tight clothing is an excellent breeding ground for staphylococcus aureus; 2) excessive sweating, overheating, or vice versa, hypothermia; 3) decreased immunity; 4) injury to the armpit during shaving, an allergic skin reaction to deodorants - against the background of reduced immunity of the wound and allergic inflammation skin is an open gate for staphylococcus aureus5) heredity6) hormonal imbalance

Treatment of a furuncle under the arm with medications
As soon as you feel pain and inflammation under the armpit, you should start wiping the skin with antiseptics - salicylic or boric alcohol, chlorhexidine, alcohol tincture of calendula. After that, apply ointment to the skin: Ichthyol, Vishnevsky or Levomekol.

Apply the ointment generously on a napkin and apply to the boil under the arm. Fix the napkin with ointment. If the disease of the udder has gone far, then change the bandage 3-4 times a day, walk constantly with this bandage. If the disease has just begun, then apply the ointment at night, wipe it with a dry cloth during the day and lubricate the boil under the arm with iodine or brilliant green. Inflamed areas of the skin should not be wetted. If you follow these recommendations, you can cure hydradenitis in 3-5 days.

If these are not available pharmaceutical products and it’s not possible to get to the pharmacy in the near future, folk remedies come to the rescue: attach plantain leaves, aloe, Kalanchoe, cabbage to the boil under the arm, after stretching or cutting them, so that the juice comes out. In the treatment of boils, including under the arm , a baked onion or a compress with grated potatoes gives a good effect. It is very useful to drink tea from calendula flowers - it kills staphylococcus bacteria in the body. (HLS 2013, No. 13, pp. 12-13)

Treatment of hidradenitis with curd compress
The woman developed a furuncle under her arm, she was diagnosed with hydradenitis and an operation was suggested. But before the operation, the patient talked to a neighbor, and she offered to try a folk remedy with which she managed to cure her daughter's bitch udder a few years ago.

Mix 1 tbsp. l. fresh sour cream, butter and cottage cheese. Put this mixture on a napkin and fix it tightly on the boil under the arm for the night. Prepare a fresh mixture every evening. The woman took this advice and began to make compresses. The boils under my arm were getting smaller every day. Treatment of hidradenitis with compresses continued until all seals disappeared. The operation was avoided. (2001, No. 3, pp. 18-19).

It helps to cure the disease "bitch's udder" and simple cottage cheese, it must be poured with hot water so that the cottage cheese warms up and gives off excess acid, stir and squeeze. Put the cottage cheese on a napkin, attach to the boil under the arm. (HLS 2007, No. 4, p. 33).

How to treat a bitch udder with a honey cake A woman has a furuncle under her arm, severe pain It was impossible even to move your hand. The patient went to the hospital. The furuncle was opened, she lost consciousness from the pain. A few months later, the disease returned again, but she was afraid to go to the hospital. In addition, a friend suggested to her a recipe for how to treat a bitch udder with folk remedies.1 tbsp. l.

Treatment of hidradenitis with onion-based ointment
50 g of laundry soap, 50 g of onion - grate on a fine grater. Heat up 150 g of rendered interior pork fat and throw onions and soap into it. Heat, rubbing, until a homogeneous mass is obtained. Cool down. Store in the cold for no more than 2 weeks. Apply a thick layer of ointment on a napkin, apply to the boil under the arm, fix.

Bough udder disease - treatment with herbal ointment
The woman had boils under her armpit. The disease progressed rapidly, the number of abscesses increased. The surgeon was far away, so she decided to treat the bitch udder at home and prepared an ointment from herbs that can treat abscesses. Preparation of the ointment.

Fresh calendula flowers 2 parts, yarrow - 2 parts, sweet clover - 1 part, dandelion roots - 2 parts, horse sorrel roots - 1 part, tansy inflorescences - 1 part. Wash all these herbs and pass through a meat grinder. Add to the herbal slurry 1 part of Vishnevsky's ointment and ichthyol ointment. Dilute this whole mixture with calendula oil to get a homogeneous elastic mass.

You can buy calendula oil at the pharmacy, but you can prepare it yourself in advance. Pour 1.5 cups of calendula flowers with a glass of vegetable oil at a temperature of 80-100 degrees, mix. Infuse in the dark for 40 days, strain In the treatment of hydradenitis, the patient rubbed alcohol solution affected skin, made a compress with this ointment in the morning, and changed the bandage in the evening. A day later, the furuncles under the arm increased, white heads appeared. On the third day, the boils burst and the pus came out. (2006, No. 18, p. 31)

Treatment of the bitch udder with a compress
The girl had hydradenitis. Neighbors advised to treat the bough udder with such a folk remedy: Take rosin, beeswax and butter in equal proportions. Melt everything over low heat and stir well, do not bring to a boil. You should get a homogeneous mass.

Treatment of hydradenitis with nettle
To cure the disease "bitch's udder", it is necessary to clean the blood with nettles - 1 tbsp. l. dry herbs pour 1 cup boiling water, insist and drink throughout the day. Do this for 2-3 weeks. (HLS 2006, No. 24, p. 4)

How to treat the disease "bitch's udder" with a bulb
Baked onion is the simplest and most effective folk remedy for "bitch's udder" and any abscesses. Bake the onion, cut in half, and apply warm to the abscess under the arm. (HLS 2006, No. 2, p. 11)

Golden mustache
The girl had a furuncle under her arm. For two nights in a row, she applied the leaves of the golden mustache plant to the abscess. On the third day, the abscess burst, and after a week everything healed, the skin cleared (2006, No. 4, p. 31).

Tibetan black plaster from a furuncle under the arm
This remedy quickly heals any abscesses, boils, "bitch's udder". Here is the recipe: Mix 50 g of grated laundry soap, 50 g of rye flour, 1 tbsp. l. vegetable oil and 1 tbsp. l. honey. Dilute all this with 150 g of boiling water, cook for 2-3 minutes, add 1 church candle without a wick. Stir.

Treatment of hidradenitis in succession
An 8-year-old girl developed inflammation under her armpit, an abscess formed, the size of a walnut and somewhat smaller. The surgeon scheduled the operation, but a friend gave me the following recipe: make a strong infusion of string, moisten a cloth in hot infusion and apply to the boil. Apply a warm wet compress 6-8 times a day. For 2 days, the child's bough udder was cured. (HLS 2010, No. 7, p. 3,)

Hidradenitis - Treatment with folk remedies

the use of medicines;
diet therapy;
physiotherapy.

deodorants and other means that prevent sweat are applied to the armpits every day;
here is an ideal environment for the development of bacteria;
a person often gets rid of underarm hair, including aggressive methods.

Surgery

If the bough udder cannot be cured with the help of conservative measures, surgical removal is prescribed. It is usually carried out only if hydradenitis declares itself with regular relapses.

As an additional treatment, physiotherapy is prescribed in the form of laser therapy, electrophoresis or magnetotherapy. It is permissible to carry them out only after complete regeneration of tissues that have undergone surgical intervention. Physiotherapy sessions allow you to remove the inflammatory process and improve blood circulation, which helps to improve local immunity.

If it is not possible to stop the pathology with medicines, and the mature abscess has greatly increased in volume, the operation can no longer be avoided. Purulent hidradenitis is almost impossible to eliminate with medicines.

First, patients will be given painkillers, then:

a small incision is made with a scalpel;
papule opens;
the inflamed tissue and the infectious focus are excised together with the nearby affected tissue areas;
purulent exudate is pumped out;
the cleaned cavity is drained and treated with antiseptics;
suturing of the skin is performed.

The procedure is short-lived, so patients, as a rule, are not prescribed inpatient treatment. It will be proposed to heal wounds on an outpatient basis by applying antiseptic dressings in place.

Laser surgery has become an innovative solution today, since it is painless, does not leave unpleasant scars and scars on the body, does not require preliminary preparation, and the rehabilitation period is also reduced by several times. Patients quickly recover and after 2 return to their usual way of life.

Prevention measures

To prevent the infection from spreading to neighboring healthy areas of the skin, it is important to follow some rules:

It is not recommended to wear too tight clothing.
You should choose cosmetics for body care without dyes, based on natural ingredients.
Completely abandon deodorants and antiperspirants, as they block the sweat glands and aggravate the course of the disease.
Promptly treat comorbidities.
Avoid excess body weight.
It is important to follow a diet. Excluded products that contribute to the increased production of sweat in the sweat glands (spicy, salty, smoked foods, alcohol).
You should take care of the quality of sleep. Night sleep should last at least 7 hours. As a result, the work of the immune and nervous systems is normalized.
During an exacerbation, any physical exercises are contraindicated.

It is impossible to squeeze out the abscess on your own - this can lead to complications: sepsis, purulent infection internal organs.

Armpit hygiene should be constant

Since it is more difficult to cure a disease than to prevent it, it is recommended to adhere to the basic rules of prevention.

The skin in the armpits and groin area requires special care. It is necessary to regularly carry out hygiene measures in these places.

Inguinal areas in obese people should be treated with medical talc or baby powder.

An important role in the prevention of relapse is played by a healthy lifestyle with the rejection of bad habits. You need to eat right, exercise, monitor your weight, and maintain personal hygiene.

At the first symptoms of hidradenitis, it is necessary to contact a dermatologist, who, before prescribing treatment, must prescribe a differential diagnosis and identify the causes that contribute to the onset of the disease.

Frequent use of antiperspirants reduces local immunity and clogs pores, which in turn leads to the development of a purulent infection. For this reason, sweat protection is recommended to be used as little as possible. Preference should be given to safe deodorants on a natural basis.

Experts assure that it is possible to reduce the likelihood of a bough udder by 2-4 times if you always follow preventive measures:

take a shower every day;
Never use underarm deodorants if they are past their expiration date or cause itching, burning, or other problems.
do not wear clothes that interfere with normal movement or rub;
change underwear every day;
use sharp blades for shaving, and also make sure that the machine is always clean;
never use other people's razors;
sleep in comfortable clothes and exclusively from cotton materials;
avoid overheating of the body;
before sports training, do not apply deodorants to the armpits, which does not clog the sweat glands.

Also, in addition to the above preventive measures, one should not abuse junk food and alcohol.

For many reasons, a person may begin to develop hidradenitis or bough udders. Such a pathology requires a mandatory visit to a dermatologist, an examination, and subsequent treatment.

It may include not only a course of ointments or antibiotics, but physiotherapy procedures, as well as folk remedies.

Blitz - Tips:

if the swelling that appears does not subside for more than two days, then you urgently need to go to the doctor;
when a person started treatment and began to notice a deterioration in his condition, then you should contact a dermatologist and make an appointment for a second appointment;
never resort to treatment, including folk methods, unless prescribed by a doctor.

Practicing doctor - cosmetologist, dermatologist, venereologist, infectious disease specialist, trichologist. Experience 9 years. Doctor of the highest category and skindiary website specialist. ru. It helps people with skin diseases, problems with nails and hair, which have a different etiology and genesis.

The main preventive measure is mindfulness while shaving.

In order to prevent the development of a disease such as hydradenitis, it is recommended to observe the following precautions:

Observe the rules of personal hygiene.
When shaving, be extremely careful to avoid damaging the skin.
If the skin was damaged during shaving, then it should be treated given area antiseptic agents.
Avoid excessive use of deodorants.
Limit wearing tight underwear.
Eat enough foods rich in vitamins and minerals. In the autumn-spring period, vitamin therapy should be carried out.

In addition, it is important to avoid the appearance excess weight and lead an active lifestyle.

Hidradenitis is a rather unpleasant and sometimes dangerous disease, but with the right approach, most often it can be cured quickly enough and without any consequences.

Medical preparations against hidradenitis

Brew dry nettle (1 tbsp.) With boiling water (200 ml) and drink a day in several doses.
Prepare a collection of chopped herbs of sweet clover and elderberry, calendula flowers, plantain leaves and eucalyptus (take all components in equal amounts). Medicinal raw materials (1 tsp) pour boiling water (180 ml) and leave to infuse for 40 minutes. Drink the resulting drink per day in 3 divided doses. Continue treatment according to the described scheme for a week.
Mix lingonberry leaves and string (1.5 tablespoons each), pour boiling water over them (400 ml) and leave for 50 minutes. Infusion take 7 tbsp. l. before meals 4 times a day.
Prepare a collection of calendula flowers and fresh blackberry leaves (1: 2). Based on the herbal mixture, make an infusion (1 tbsp. medicinal raw materials per 220 ml of water) and drink it per day, dividing the daily dose into 6 doses.

Bough udder or hidradenitis is an inflammation of the sweat glands (most often in the armpits), which is caused by pathogens and, without appropriate treatment, can lead to serious consequences. Therefore, it is important not only to recognize in time, but also to understand how to treat hydradenitis so that the disease passes as quickly as possible and does not entail complications.

It is possible to cure a bough udder with folk remedies, provided that treatment is started at the first signs of the disease, while with purulent inflammation can be dealt with without surgery. To do this, you can use traditional medicine recipes that help to “pull out” pus and contribute to the effective removal of inflammation.

As soon as you feel painful discomfort, you should wipe the problem areas with antiseptics - salicylic or boric alcohol, chlorhexidine, octenisept, alcohol tincture of calendula, diluted with boiled water 1: 1. After treating the inflammation under the arm, apply ointment to the skin: Ichthyol, Vishnevsky or Levomekol.

Ointment should not be spared: apply it liberally on a napkin with a slide and apply to the abscess. Secure the napkin with a bandage or plaster. If the inflammation is strong, then it is better to wear this bandage for several days without removing it, only changing it. In mild cases, apply at night, during the day, lubricate abscesses with iodine or brilliant green. Water procedures exclude. For 3-5 days of such treatment, the bitch udder completely disappears.

If the pharmacy is far away, the disease caught you in the field, then folk remedies will help: attach the leaves of plantain, blackberry, lilac, aloe, Kalanchoe, cabbage to the inflamed area. A baked onion or a compress with grated potatoes helps well. It is also useful to take an infusion of calendula flowers inside. (HLS 2013, No. 13, pp. 12-13)

fat sour cream, cottage cheese, butter (1 tbsp) mix, apply a compress to the sore spot to dissolve the bumps, relieve pain;
onion bake the onion in the oven, divide into plates, apply to the inflamed area, holding up to 15 minutes, so until the abscess breaks through on its own and comes out;
herbal collection is recommended for sluggish course of hydradenitis: mix dandelion sweet clover calendula yarrow (1 tsp each), add Vishnevsky's ichthyol or ointment (1 tsp), treat inflamed areas 2 times a day;
Mix wax with butter and camphor in equal proportions until a homogeneous mass, apply on a gauze bandage and apply as a compress, fixing with adhesive tape. So, until the pustular nodules disappear completely

Svetlana, 42 years old: I have been suffering from recurrent hidradenitis for 5 years. During this time, I learned to quickly recognize and stop the development of seals at the very beginning of their inception. Ilon ointment helps me with this. I thickly lubricate the ball of hydradenitis with it twice a day. If the process has not yet gone far, then after 3 days the ball disappears without a trace.

Katya, 29 years old: Surgical removal of inguinal hidradenitis horrified me. Worse than that, nothing has ever happened to me in my life. On the recommendation of a doctor, I passed the tests, according to which I was diagnosed with Staphylococcus aureus. The doctor prescribed me a course of antibiotics. I am just about to finish taking the prescribed medications.

Hidradenitis is only a consequence of the action of any provoking factor. It is treated quite successfully if the patient does not lose faith and finds the true cause of the disease. Despite the apparent simplicity, it is better to treat the "bitch's udder" under the supervision of a doctor who can detect the onset of complications in time and prescribe the appropriate treatment.

Along with the diet, alternative medicine offers the following recipes:

Preventive methods include compliance with the necessary hygiene rules, antiseptic treatment of the armpits after shaving. Overweight people need to lose weight. This will help exercise and maintain a healthy lifestyle. Bitch udder disease is not contagious, but can be transmitted from a sick person to a healthy person through hygiene items.

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Axillary hydradenitis: causes and symptoms

In addition to the general causes of axillary hidradenitis, careless shaving can be the cause, as a result of which cuts and wounds form on the skin.
Wearing tight clothes, using deodorants, shaving products, lotions can also provoke the occurrence of purulent inflammation of the sweat glands in the armpits.
The disease begins with a slight feeling of discomfort in the armpit area. The patient begins to feel the affected area and finds a small subcutaneous nodule, the size of a pea.

In the future, the size of the nodule increases, the pain increases, the appearance of the abscess becomes frightening. On the 4th - 6th day, the pain becomes unbearable and the patient usually seeks help from a surgeon who opens the abscess and removes its contents.
Often several purulent nodes ripen simultaneously under the armpits. Treatment of multiple formations is carried out in the surgical department. It is very dangerous to start a disease or self-medicate in such cases.

In addition to staphylococci, other coccal bacteria, such as streptococci, can provoke the manifestation of hidradenitis. Pathogenic microorganisms present on the skin are usually not active. But penetrating into the wounds due to careless shaving, they begin to multiply intensively, which causes an inflammatory process. Other reasons can also activate the pathological work of bacteria:

Allergies can also cause an inflammatory process on the skin. With it, an active synthesis of histamine occurs, the interaction of which with the cells of the epidermis causes swelling, itching, and burning. Often the reason is poor hygiene, wearing synthetic underwear, frequent and excessive use of deodorants that clog the sweat glands.

The causative agents of hidradenitis are staphylococci, Pseudomonas aeruginosa, streptococci and other pathogenic or opportunistic microorganisms. Pathogenic microflora penetrates into the sweat gland through its duct or through lymphatic vessels with damage to the upper layers of the skin. Epithelial tissues can be injured when scratching an itchy area or when removing unwanted hair.

Factors that increase the risk of developing a female udder are:

weakening of the immune system;
superficial attitude to compliance with hygiene requirements;
increased sweating;
obesity;
endocrine disruptions;
chronic foci of inflammation in the body;
constant wearing of clothes and underwear made of synthetics that restrict movement;
the use of low-quality creams for depilation, deodorants;
hormonal disruptions.

In addition, hydradenitis under the arm or in the perineum can occur against the background of unfavorable heredity.

In addition, with the aggravation of symptoms, the general condition of the patient worsens, the body temperature rises, headache and weakness appear. During this period, hydradenitis ripens, after which it opens and the pus comes out, and in its place, as it heals, a scar forms. The duration of the disease is about 10 days.

Factors that contribute to the development of hydradenitis:

hygiene violations;
Availability mechanical damage on the skin in the area of sweat glands (scratches, cuts, cracks);
the use of underarm hair removal products that remove hair from the root;
the presence in the body of foci of chronic infection;
decline in immunity;
blockage of sweat glands due to overuse antiperspirants.

Treatment of hidradenitis at home is effective at the compaction stage, since the measures taken at this time prevent the development of an abscess.
If an abscess is nevertheless formed, then it is necessary to seek the advice of a doctor, because this is a very serious condition that can result in blood poisoning.

Contributes to the development of the disease:

increased sweating,
non-compliance with the rules of personal hygiene,
injuries that occur after shaving, scuffs that occur when wearing uncomfortable clothes,
lipid (fat) metabolism disorders,
dysfunction of the gonads,
the use of large amounts of carbohydrates and diabetes create favorable conditions for the development of infection (carbohydrates are a good breeding ground for pyogenic microbes);
malnutrition (insufficient amount of proteins, fats, carbohydrates, vitamins and microelements);
severe somatic pathology, which leads to exhaustion of the body,
contributes to the disease stay in a hot climate and high humidity.

Rice. 6. In the photo, the consequences of hydradenitis under the arm. Multiple scars are visible after the healing of the fistulous passages.

Classification and forms of the disease

Mostly in people with a developing bitch udder, it is noted:

constant itching in this area;
burning sensation, especially after applying deodorant;
swelling that does not disappear, but, on the contrary, grows in volume;
soreness;
purulent discharge from the resulting swelling.

Hidradenitis is a suppuration that occurs in the apocrine sweat glands of the body. In many cases, such a defect can be found in the armpits.

But hydradenitis can occur near the umbilical region, inguinal folds, anus, scrotum, and labia majora.

Hydradenitis can also appear in the navel area

The treatment of this disease is not easy, but it is certainly possible to cure it.

To date, there are a large number of methods and methods of struggle. Among them: therapeutic, as well as treatment with medicines and medicines, you can definitely use folk remedies, well, and in severe cases, surgical intervention is indicated.

More often, hidradenitis is unilateral, for example, in the armpit on the left, inflammation on both sides at once is very rare.

The initial stage of the "bitch's udder" is the appearance under the skin of one, and more often several nodules of a dense structure, the size of a pea.

Gradually, painful seals reach a diameter of 1.5 - 2 cm, they protrude above the surface of the skin, becoming like a dog's udder.

The surrounding skin reddens, itches, then swelling occurs, the nodes merge, forming an area of a large inflamed cyanotic-burgundy infiltrate.

These characteristic symptoms accompanied by signs of general malaise:

When a solid node gradually becomes soft, then when pressing on the wall of the cavity, oscillations are formed - fluctuation. This serves as a sign by which it is possible to distinguish a "bitch udder" from a boil.

After the maturation of the infiltrate, it is opened, in which purulent contents come out. Then a scar is formed in this place.

The process can take from 10 days to a month - the fact is that while some abscesses heal, others appear.

After the release of pus, the patient usually feels better. During this period, it is important to prevent contents with a large number of staphylococci from entering neighboring areas.

Otherwise, the involvement of new sweat glands in the process threatens with repeated hydradenitis. The disease can take a chronic relapsing form.

Note: in a neglected form, it is difficult to raise a hand, it hurts to sleep on your side, and the body temperature is kept at 37 - 37.4 degrees and does not subside even when the patient has drunk an antipyretic pill. Important: all symptoms only intensify, especially with physical exertion, unrest and wearing tight clothes.

Hydradenitis is an inflammation of the sweat gland, most commonly found in the armpits. The infection enters the injured skin and subcutaneous tissue with microtrauma - abrasions from clothing or microcuts that occur when shaving the armpits. Bough udder develops in people with reduced immunity, who do not carefully observe hygiene requirements.

The disease recurs until the patient regains normal immunity. Especially often hidradenitis develops in patients with diabetes mellitus and immunodeficiency.

Hygiene rules that must be observed for the prevention and treatment of hydradenitis.

Wearing loose clothing made from natural materials: cotton, linen, wool, silk. Such clothes help to avoid excessive sweating, overheating of the body.
Take a shower every day.
It is good to use a germicidal soap or gel - they reduce the number of microorganisms on the skin, helping to avoid inflammation.
Shave gently with shaving products that reduce cuts.
Use a separate towel for each family member.
If a person sweats a lot, it is advisable for him to use baby powder.

If a person is already sick, then hygiene measures are intensified.

Do not take baths to avoid infection of other areas.
Use the shower after sealing the abscess with adhesive tape.
Rinse the abscess with citeal, and after a shower with a weak solution of potassium permanganate.
Wash bedding and underwear daily in very hot water. After drying, the linen is ironed with a hot iron.
Until recovery, refuse depilation and shaving.
After each procedure, you need to wash your hands, treat them with alcohol.

"Bitch udder" is localized in places of accumulation of apocrine glands. They are most common in the armpits, so axillary hidradenitis is the most common disease.

In addition, these parts of the body are constantly exposed to negative effects - this is traumatic depilation, and friction with tight clothing, and inappropriate deodorants.

Some simply neglect the elementary hygiene of places that are characterized by increased sweating.

Where else is localized hidradenitis:

in the groin area;
in the perineum, around the anus;
in men - on the scrotum;
in women - on the labia;
in the folds under the breast;
on the mammary gland - in the area of pigmentation around the nipples;
rarely hydradenitis appears in the scalp.

So that the infection does not spread throughout the body, when a single focus appears, for example, a bump on the pubis, you should immediately begin antiseptic treatment of this place.

The generally accepted classification of hydradenitis is based on its various manifestations.

By localization, the "bitch udder" is divided into one-sided (more common) and two-sided.

Also, the disease at the place of occurrence is axillary, inguinal, located in the anus, scrotum, labia, navel, mammary glands.

There are several stages of the course of the disease:

Initial - when the blockage of the sweat gland has just occurred. Accompanied by swelling, redness of the skin, itching, pain.
Medium - the growth of inflamed nodes and increased pain.
Severe - the formation of purulent abscesses with an admixture of blood.

Depending on the nature of the development of the pathology, 2 types of hidradenitis are distinguished: acute purulent and chronic.

The reason for the development of this form of the disease is the blockage of the apocrine glands, mainly due to poor hygiene of the body.

It is important to notice the formation of a bump in time, which quickly becomes inflamed and turns into a purulent abscess.

The disease is accompanied by typical symptoms - fever, weakness, pain in the places where abscesses form.

Untimely treatment of pathology is dangerous by intoxication of the body and complications in the form of abscesses and phlegmon.

recurrent

The chronic form of hidradenitis is also called recurrent. The inflammatory process lasts for a long time, manifesting itself at certain intervals.

Extensive inflammation of the sweat glands is considered the most complex form of hidradenitis. For successful treatment, it is necessary to find out the causes of a long pathological process.

The disease is dangerous by an increase in the area of inflamed apocrine glands and the formation of abscesses.

Adequate complex treatment with the use of antibiotics, be sure to exclude alcohol and diet, careful personal hygiene.

suppurative

The suppurative form of hidradenitis is also called inverse acne. It is more common in adolescents during puberty.

The peculiarity of the disease is that various forms acne is combined with an inflammatory process in the sweat glands.

Suppurative hydradenitis of the armpit or other area of the skin appears due to blockage and rupture of the hair follicle.

The disease is characterized by the formation of an inflammatory process that affects the sweat glands.

Pathology can be localized in the groin, perineum, armpits, less often on the face. Factors conducive to the development of the disease are excessive sweating, obesity, uncomfortable clothing.

Prevention of the occurrence of hidradenitis is reduced to the elimination of factors provoking the disease. To avoid the appearance of such an unpleasant ailment, it is recommended:

wear comfortable clothes and do not abuse various deodorizing agents;
observe the rules of personal hygiene;
timely identify and treat diseases against which hydradenitis may develop;
strengthen immunity;
choose more gentle methods of removing unwanted hair that do not injure the skin.

Hydradenitis at the initial stage of development.

The appearance of the pathology and physical sensations depend on the stage and severity of the infectious process. Symptoms appear gradually and indicate the transition of the disease to a new phase:

High body temperature signals the transition of the disease to the period of maturation. The appearance of phlegmon indicates the connection to the pathological process of fatty tissues, and lymphadenitis indicates the inflammatory process of the lymph nodes.

It looks like a fistulous form of hydradenitis.

If the disease has acquired a chronic course, then two or three fistulous openings are formed in the armpit.

They are connected by subcutaneous passages and become inflamed from time to time. There is a fistulous form of the disease. There is a high risk of relapse in overweight people and those who suffer from hyperhidrosis.

With the formation of an inflammatory infiltrate in the early stages of the development of the disease, the patient is disturbed by periodic pain. Often several infiltrates are formed, which merge and form one acutely inflammatory, sharply painful infiltrate, which occupies the entire axillary fossa. During this period, the patient may be disturbed by weakness and malaise, sometimes the body temperature rises. The skin over the infiltrate acquires a bluish-pink color. Infiltrates range in size from 0.5 cm to 3 cm. Pain and the appearance of armpit infiltrates are the main symptoms of the disease.
Inflammatory infiltrates either resolve or tissue suppuration (abscess or abscesses) is formed. Abscesses with hydradenitis have a conical shape (popularly called "bitch's udder").
When opening the abscess, thick pus is released. A necrotic core, as with boils and carbuncles, is not formed.

Traditional methods of treatment

If hidradenitis therapy is carried out correctly and in a timely manner, and the patient strictly follows all the recommendations of his attending physician, the prognosis is the most favorable. Only a minor defect remains on the skin, which will for some time remind of such an unpleasant condition in the past.

Otherwise, the risk of developing serious complications is too high. With illiterate treatment or its complete absence, the pathological process may spread to the surrounding tissues, which will subsequently lead to the development of an abscess (suppuration with clear boundaries), and then phlegmon, a diffuse purulent inflammation of the surrounding tissues, characterized by an acute course and lack of boundaries.

In severely neglected cases, purulent masses can enter the bloodstream and infect all organs and systems of the body. This condition is called sepsis and is very life-threatening. In most cases, patients who are diagnosed with blood poisoning die. Therefore, one should not underestimate the danger of pathology and delay a visit to the doctor if there is no desire to “receive as a gift” a much more serious disease.

Treatment of hidradenitis at home with a curd compress

The woman developed hydradenitis under her arm, she was offered an operation. But the disease was cured by folk remedies. A familiar grandmother helped her, who cured her daughter's bitch udder with the same method.

Mix 1 part sour cream, 1 part butter and 1 part cottage cheese. Apply this mixture in the form of a compress to the inflammation under the armpit and fix it tightly. Prepare the mixture fresh every evening. By morning it dries up. The bumps that had already begun to burrow were getting smaller every day. The woman did compresses until the painful seals completely disappeared. The operation was not needed. (HLS 2001, No. 3, pp. 18-19).

It helps to cure the disease and simple cottage cheese, it must be mixed with hot water so that the cottage cheese warms up, squeezed out and applied on gauze to the abscess under the arm. (HLS 2007, No. 4, p. 33).

Honey cake against inflammation of the sweat glands

A woman had an abscess under her arm, unbearable pains began, she turned to a surgeon. The sore was cut open, she lost consciousness from the pain. After a while, hidradenitis returned again, but she was afraid to go to the hospital. In addition, one woman told her how to treat a bitch udder with folk remedies.

1 st. l. heat honey in a water bath, mix with flour, knead the cake and apply at night to the abscess under the arm in the form of a compress, covered with polyethylene. Make fresh bread every night. Hidradenitis was cured without surgery, the disease never returned. (HLS 2003, No. 3, p. 19)

Treatment of hidradenitis at home with onion ointment

50 g of laundry soap, grated on a fine grater, 50 g of grated onion, 150 g of melted interior pork fat. Combine everything and heat slightly, rubbing to get a homogeneous mass. Cool down. Store in the refrigerator for up to 10 days. Apply an ointment 2-3 cm thick on a small piece of gauze, apply to the abscess under the arm.

The disease cannot be started, it delivers a lot of discomfort, can lead to blood poisoning. Hidradenitis usually does not go away on its own, so effective medical intervention is necessary. It is forbidden to open the knots and squeeze out their contents on your own. This will spread the infection and worsen the condition.

What can be done with hydradenitis at home before going to the doctor:

It is impossible to wet the inflamed axillary area, baths are prohibited. You can wash in the shower, having previously closed the problem area with adhesive tape. Be sure to stick to the diet throughout the treatment. Under the ban spicy, salty, smoked, alcohol, carbonated drinks, coffee, chocolate, pastries - all these are products that provoke excessive sweating. Choose fruits, vegetables, natural juices. All food is recommended to be steamed, not roasted, or baked in the oven.

Antibacterial drugs are the basis of therapy, since the first step is to eliminate pathogenic microorganisms that provoke the development of the disease. Antibiotics for hydradenitis are prescribed, as a rule, in the form of tablets. Tetracycline, cephalosporin, penicillin series, a number of macrolides, fluoroquinolones.

The most effective and proven drugs are:

taking antibiotics, immunostimulating drugs and vitamins;
regular treatment of the skin in the area of the abscess with antiseptic solutions;
novocaine injections (for severe pain);
the imposition of semi-alcohol bandages;
dry heat therapy (sunbathing, heating with a Minin reflector);
physiotherapy procedures (local ultraviolet irradiation, UHF therapy, magnetotherapy, laser, electrophoresis, etc.).

Fully mature hidradenitis under the arm, in the groin area or in the anus area requires surgical treatment. The surgeon performs a wide incision in the affected area, evacuates the purulent masses and removes the infiltrated adipose tissue. With persistent, repeatedly recurring bough udder, the attending physician may recommend that the patient undergo a course of X-ray therapy that destroys the sweat glands.

However, with a bough udder that has become chronic, treatment can be delayed for 1.5 months or longer.

the size of the resulting swelling on the body;
the presence of pus in them;
patient's age;
the time interval during which the disease progresses;
other features of the patient, for example, intolerance to any drug.

After the specialist has analyzed the nature of the disease, taken into account all the accompanying factors, he prescribes a treatment that includes:

Various ointments that provoke the opening of swelling and the release of accumulated pus.
Taking antibiotics to fight infections in the body.
Special physiotherapy aimed at restoring the skin and accelerating recovery.

Antibiotics

When a bough udder is diagnosed, doctors prescribe a course of antibiotics in 92% of cases. Among the most proven drugs for this disease are:

minocycline, which is supposed to be taken 3-4 times a day;
tetracycline, taken up to three times a day.

If a patient has a decrease in general immunity, then this may well lead to the development of sepsis, which poses a serious danger to a person.

Important! If the course of hidradenitis is accompanied by high fever and severe weakness, you must urgently inform your doctor about this.

Treatment of a bitch udder should be strictly individual for each patient. Moreover, treatment should begin only after a complete examination of the person.

Methods of treatment of bough udder:

If the disease is still at the initial stage, then the patient is prescribed antibiotic ointments. Most often it is tetracycline and erythromycin. In the complex, alcohol solutions and hydrogen peroxide are even prescribed by a doctor. In addition, treatment can be based on ultraviolet radiation.
If the disease has already developed before the formation of pus, then the formation itself is opened and drained. This procedure is not very complicated, so do not be afraid of such an operation. After that, the patient is prescribed antibiotics in the form of ciprofloxacin and azitrox.
If the disease is active, then the formations cannot be wetted. In addition, all sweet and spicy foods, as well as alcoholic beverages, should be excluded from your diet. After the disease is cured, it is necessary to exclude all factors that can provoke the formation of the disease again.

In order to stimulate the purulent contents out of the inflammation, it is smeared with Vishnevsky liniment or ichthyol ointment. First you need to cut off all the hair from the site of inflammation, then the ointment is applied in a very thin layer over the painful formation. These ointments have stretching properties, so they are also used to quickly form a boil core. See the photo of the boil here.

After the purulent contents come out, you must use the following tools:

Antibiotic ointment Levomekol.
Lotions of clindamycin solution.
Compress from a solution of dimexide and iodine.
Oflomelid.

Antibiotics

Treatment should be complex, therefore, in addition to ointments, antibiotics must also be taken.

Most often, the following antibiotics are prescribed in the treatment of a bough udder:

Erythromycin - 4 times a day.
Tetracycline - once a day.
Minocycline - 3 times a day.

Physiotherapy

It is very important to note that antibiotics are not taken during physiotherapy procedures.

Physiotherapy aimed at treating the bitch udder includes the following procedures:

Bactericidal technique
Anti-inflammatory therapy with UHF, UV radiation
Immunostimulating therapy (laser blood irradiation, magnetotherapy, heliotherapy)
Regenerative technique

Folk remedies

Many doctors say that the treatment of a bitch udder folk methods is an ineffective way, however, it cannot harm health and can be well combined with drug therapy. In addition, people's reviews suggest that folk remedies may well fight such a disease.

How to treat bitch udder with herbal ointment

A good anti-inflammatory and antibacterial effect has an infusion of calendula, wild hops, elderberry, eucalyptus and plantain. All dried ingredients must be taken 1 tbsp. l., grind and pour 0.5 liters of boiling water. After keeping in a water bath for 15 minutes, the infusion must be cooled and filtered. Take the remedy 50 ml three times a day.

Excellent fights against pathogenic bacteria and infusion of the leaves of the series and lingonberries. They need to take 1 tbsp. l. and pour 0.4 liters of boiling water, let it brew for an hour and strain. Use the remedy 50 ml 4 times a day 30 minutes before meals.

You can also use a decoction consisting of two parts of blackberry leaves and one part of calendula flowers. For its preparation 1 tbsp. l. vegetable raw materials, pour 200 ml of boiling water and simmer for 30 minutes. After cooling and straining, take a decoction of 50 ml 3-4 times a day.

These funds can be combined and alternated with each other. Also, white cabbage leaves can bring relief. They must be scalded with boiling water and lightly beaten with a hammer so that they let the juice flow. You need to apply cabbage leaves to the sore spot throughout the day, in between lotions of medicinal herbs.

An effective remedy for a speedy recovery is an onion baked in the oven. It needs to be disassembled into separate parts and make a warm compress with it. It is necessary to put a warm onion on the painful area, cover it with a plastic bag and put a layer of cotton wool on top. You can wrap this place with a woolen scarf for a warming effect.

Honey cake also helps cure hidradenitis. It can reduce inflammation and promote the resorption of infiltrates. Honey must be mixed with flour to the consistency of thick sour cream. From the resulting mass, you need to form a cake and apply to the area of \u200b\u200bdensification. From above, this place must also be wrapped with polyethylene and covered with a warm cloth. It is best to use such a remedy at night, each time using a fresh cake.

Calendula

During the course of the disease, it is important to follow a diet that excludes alcohol, spicy and fatty foods. The bath must be abandoned in favor of the shower, sealing the area of \u200b\u200bhydradenitis with a plaster to prevent it from getting wet. To disinfect the diseased area, you can use an alcohol tincture of calendula. In the treatment of hidradenitis, it is important to carefully remove re-growing hair on the inflamed area, as they can collect harmful microorganisms and sweat, but do not injure the skin.

The woman had boils under her armpit. Despite the treatment, the disease progressed, the nodes became more and more. The surgeon was far away, so she decided to treat the bitch udder with herbal ointment. First you need to prepare calendula oil: pour 1.5 cups of calendula flowers with a glass of vegetable oil at a temperature of 80-100 degrees, mix. Insist in the dark for 40 days, strain.

Ointment preparation. Fresh calendula flowers 2 parts, yarrow - 2 parts, sweet clover - 1 part, dandelion roots - 2 parts, horse sorrel roots - 1 part, tansy inflorescences - 1 part. Wash all these herbs and pass through a meat grinder. Add 1 part of Vishnevsky's ointment and 1 part of ichthyol ointment to the herbal slurry. Dilute this whole mixture with calendula oil prepared in advance to obtain a homogeneous elastic mass.

When treating a bitch udder, a woman wiped the affected area with an alcohol solution (or herbal tincture, or cologne, or alcohol). Then she applied the ointment for the whole day, and repeated the procedure in the evening. The result was ideal in a day: the abscesses under the arm increased, white heads appeared. On the 3-4th day, all the pus began to come out. (2006, No. 18, p. 31)

Treatment of hidradenitis with a wax compress

The girl was in the hospital with a fracture of the spine, and in addition, she developed hydradenitis. The neighbors in the ward advised such a folk remedy: take rosin, beeswax and butter in equal proportions. Melt everything in an enamel bowl and stir well, but do not boil. Get a homogeneous mass.

Cleansing the blood with hydradenitis

To cure the disease "bitch's udder", it is necessary to clean the blood with nettles - 1 tbsp. l. dry herbs pour 1 cup boiling water, insist and drink throughout the day. do this for 2-3 weeks. (HLS 2006, No. 24, p. 4)

Treatment of hydradenitis with a bulb

A baked onion is the simplest and most effective folk remedy for "bitch udders", boils and any abscesses. Bake the onion, cut off the bottom, and, without cooling, attach the cut to the abscess under the arm. (HLS 2006, No. 2, p. 11)

How to treat a bitch udder with a golden mustache

The girl had an abscess under her arm. At night, she applied 2 leaves of a golden mustache plant to it. Did the same on the second night. And that's it, on the third night nothing began to heal, and a week later there was no trace of the sore (HLS 2006, No. 4, p. 31).

Tibetan black patch for abscesses and inflammation under the arm

Mix 50 g grated laundry soap, 50 g rye flour, 1 tbsp. l. vegetable oil and 1 tbsp. l. honey. Dilute all this with 150 g of boiling water, cook for 2-3 minutes, add 1 church candle without a wick. Stir, the ointment is ready. Apply this ointment to a napkin and attach to the abscess, secure with adhesive tape.

Treatment of hidradenitis in succession

An 8-year-old girl had inflammation under her armpit, an abscess formed, red, painful, the size of a walnut. The doctor prescribed an operation, but the biology teacher, who came across, gave the following recipe: make a strong infusion of string, moisten a rag in a hot infusion and apply to the abscess. Apply a warm wet compress 6-8 times a day. For 2 days, the child's bough udder was cured. (HLS 2010, No. 7, p. 3,)

Causes

There are two types of sweat glands on the human body - eccrine and apocrine. Eccrine sweat glands are located in the deep layers of the skin over the entire surface of the body, except for the glans penis, foreskin, and the area of the red border of the lips. In the region of the palms and soles, the glands are located in the subcutaneous adipose tissue. Eccrine sweat glands are involved in thermoregulation of the body.

Apocrine sweat glands are found in the armpits, genitals, perineum, around the anus, and in the pigmented area around the nipples. Apocrine sweat glands are not involved in thermoregulation, but are activated during stress. The smell of sweat and its viscosity depends on the degree of destruction of secretory cells. Apocrine sweat glands do not function in children, and in the elderly their function is sharply weakened.

Rice. 4. The secretory glomerulus and the narrow excretory duct are the main structures of the sweat glands.

Hydradenitis is easier to prevent than to treat. Those who are already familiar with purulent inflammation of the sweat glands and its consequences should be especially careful. The main preventive measures of the disease are:

personal hygiene
careful selection of cosmetics or a complete rejection of cosmetics
control of blood sugar levels, exclusion of staphylococcal infection
gentle hair removal in "risk areas": armpits, groin, abdomen and chest
treatment of armpits with alcohol in moments of heavy sweating
avoiding dust and dirt on sweaty skin

The insidiousness of the bitch udder is that, having appeared once in the human body, the disease often recurs. But, knowing about preventive measures, you can significantly reduce the risk of developing the disease in the future. Disease can be prevented by:

compliance with daily hygienic water procedures;
moderate use of deodorants and antiperspirants;
renunciation of bad habits(alcohol and smoking), which inhibit work immune system;
taking multivitamin preparations (preferably several courses a year);
regular change of bed linen;
antiseptic treatment of all skin lesions;
the fight against existing chronic foci of infection in the body ( chronic tonsillitis, carious teeth, etc.).

Treatment of a bitch udder with folk remedies at the first signs of the disease usually brings quick relief and leads to a speedy recovery. But depending on the severity of the disease and the state of immunity, this may not be enough. It is important to monitor the dynamics of the process and, in the absence of improvements, be sure to agree with the doctor on further methods of treating the disease.

Bough udder disease has a medical term - hydradenitis. The unsound name of the disease is more often used by the people. Pathology received such an obscene name because of the appearance of the lesion of the skin.

Hydradenitis bough udder - a purulent inflammatory process in the sweat glands. Most often, infection occurs from the ingress of bacteria. The area most commonly affected by the disease is armpit. But there are infectious inflammations in other parts and areas of the body. More often this occurs where hair growth is observed: the lower abdomen, the inguinal folds of men and the genitals of women.

Infectious damage to tissues and internal organs is caused by staphylococcus aureus. The disease is very dangerous for humans. Left unattended, it leads to blood poisoning. Sepsis becomes scary for the patient, so you should know what hydradenitis is, how to treat a bough udder. The clinical picture has clearly identified symptoms by doctors.

The causes of hydradenitis are different. The main virus that causes the disease is Staphylococcus aureus. It most often disrupts the digestive system.

Bacteria can enter the body in several ways:

through the lymph. This occurs when the skin is damaged. The bacterium enters the apocrine glands external ways: cuts, cracks, scratches.
through ducts that drain fluid. The infection enters those areas that are more prone to sweat formation, the pores are enlarged, open.

Both methods are the result of inaccurate human actions. The skin is damaged during shaving, with strong combing during the hot seasons. Sometimes the pores become open after being bitten by insects (mosquitoes). Staphylococcus detects small cuts and bite marks that are not disinfected with the right agent.

Increased sweating, a constant feeling of skin debate make the human body vulnerable to the penetration of bacteria. Various microbes enter the body, among them a dangerous Staphylococcus aureus occupies a special place. Hydradenitis causes depend on the strength of the immune system. The stronger the protection, the weaker the virus.

You can list the main bough udder causes of the development of the disease:

increased alkaline background of sweating;
lack of hygiene skills;
chronic pathologies;
diabetes;
different degrees of obesity;
diseases of the endocrine system.

Diagnostics and differential diagnostics of the condition

It includes:

Listening to patient complaints.

Tip: so that the doctor does not have doubts about the diagnosis, it is important to describe all the symptoms as accurately as possible, how long the problems have been, whether there are improvements or, on the contrary, it is getting worse.

Inspection of problem areas of the body, for example, the area of \u200b\u200bthe armpits.
Feeling of swelling.

Note: at the time of palpation, the doctor is always interested in whether the patient feels pain syndrome, and also evaluates the size of the swelling and the presence of purulent content in it.

A blood test for basic indicators, especially leukocytes and ESR.

An important point: if there are more leukocytes in the blood than expected according to the standard, and the erythrocyte sedimentation rate is significantly higher, then the doctor has no doubt that hydradenitis is developing.

The diagnosis is based on a clinical blood test and sugar. Additionally, patients will be asked to consult a surgeon and an endocrinologist. As a rule, the blood formula in this disease changes dramatically: the ESR and the number of leukocytes are overestimated, which clearly indicates the progression of the inflammatory process.

An immunogram is performed to examine the immune system if the disease is advanced and relapses are observed.

Additionally, a study of the microflora from the inflamed area is carried out. This helps the doctor choose the right antibiotics for further treatment of hidradenitis.

Medical therapy

To prevent the infection from spreading, the skin around the purulent formations is wiped with alcohol several times a day. It is advisable to wash only in the shower, sealing the sore spots with a plaster. In the first week of illness, it is recommended to apply wipes soaked in an alcohol solution. Various types of compresses are contraindicated, which increase the formation of pus. Only warming with dry heat and sunbathing are considered useful.

General treatment is carried out with antibiotics of the penicillin and tetracycline series. When the disease resumes, patients are prescribed immunostimulating therapy based on the data of the immunogram. If infection with staphylococcus is confirmed, then therapy is carried out with the help of a staphylococcal vaccine and gamma globulin.

Drugs are prescribed exclusively under the supervision of specialists. Course assignments can be as follows:

antibiotics (ointments, solutions) to suppress the bacterial flora of gram-positive anaerobic bacteria (streptococcal, staphylococcal);
antiseptics (camphor alcohol 10%, brilliant green) for applying applications to the affected surface for the purpose of treatment;
novocaine blockade with the accumulation of multiple infiltrate in the subcutaneous tissue by chipping the affected area around the circumference;
sulfonamides;
nitrofurans;
vitamin complexes.

Useful can be a strong lamp for warming up inflamed areas, for which you need to bring it to the body for 5-5 minutes, maintaining a distance of 15-20 cm. This helps to avoid surgery at the initial stage of the disease, i.e. cuts and punctures.

What can and what can not be eaten during the bitch udder?

An unbalanced diet is the cause of the development of many diseases, which include the bitch udder. For a quick recovery, you need to get rid of excess weight, saturate the body with a normal amount of minerals and vitamins. You need to eat dairy products, lean poultry meat, beets, carrots, tomatoes, black currants, rose hips. All types of nuts, creamy and vegetable oils, seafood, cereals, mushrooms, most berries.

It is necessary to exclude products that cause allergies in a particular patient. Carbonated, energy, alcoholic drinks are prohibited. Too fatty and fried foods, sweets and rich flour products are undesirable.

Why does a bitch udder appear

The main cause of hidradenitis is a staphylococcal infection. Normally, many different microorganisms are present on the human body. And staphylococci are no exception. On the skin, especially in places where apocrine sweat glands are localized special kind these bacteria. These are epidermal staphylococci.

With increased reproduction, they can get into the glandular ducts, and then into the gland itself, causing inflammation. But in most cases, the source of the disease is environment. It contains much more microbes than on the skin. The main microorganisms causing the development of the infectious process are golden, as well as hemolytic staphylococci. In addition, E. coli, Proteus, fungi and Klebsiella can become the cause of inflammation.

Factors contributing to the entry of an infectious agent into the apocrine sweat glands and further development inflammatory process are considered:

weakening of the immune defense of the body;
the presence of autoimmune diseases;
various hormonal disorders (including changes in hormonal levels during pregnancy);
pathology of the endocrine system;
metabolic disorders (including overweight, obesity and diabetes mellitus);
excessive sweating, excessive and constant moceration (moisture) of the skin;
violation or non-compliance with the rules of personal hygiene (there is an accelerated reproduction of pathogenic microorganisms);
wearing uncomfortable clothes (seams and coarse fabrics can injure delicate skin);
excessive concern for the aesthetic appearance of the skin: shaving and epilation;
the use of talc as a deodorant and antiperspirants containing it;
frequent use of personal hygiene products containing alkali (soap, shower gels, and so on);
non-compliance with the principles of rational nutrition.

The use of deodorants is a common cause of hydradenitis.