A boil is a bacterial infection (staph) that occurs in the deep end of a hair. They can occur anywhere on the body but most commonly on the face, neck, buttocks, groin and under the breasts. It emerges as a small lump of red or pink color, under the skin, usually larger than 1 cm in diameter and grows quickly and is filled with pus.
Hidradenitis suppurativa is a skin condition that manifests itself in form of abscesses or boils on and around the breast, especially in the crease underneath. This condition is not only painful, but also embarrassing. It can sometimes be chronic and keeps on reappearing however much you treat it.
Hidradenitis boil under breast can be caused by Sex hormones, mainly excess androgens. The Women tend to have outbreaks before menstruation and after pregnancy, and the disease usually subsides during pregnancy and after menopause. Other triggers include:
- Obesity: Obesity is considered an exacerbating factor, rather than trigger. This is because of the mechanical irritation, occlusion and maceration.
- Clothing: Tight clothes can also trigger it.
- Smoking: tobacco and snuff are also considered triggers, though not clinically proven.
- Cosmetics: Deodorants, depilatories and shaving the affected area.
- Drugs: drugs like oral contraceptives and lithium can also trigger it.
Treatment of boils
There is no definitive cure for a boil under breast caused by HS. But early treatment with the dermatologist can help control symptoms, prevent further injury and prevent scarring.
Some medicinal measures do not help in the treatment of Hidradenitis. The main thing is to avoid smoking. Excessive consumption of foods high in sugar and milk also seem to be harmful to people with the disease. In patients with overweight, weight loss is essential. Daily hygiene of the affected site is necessary and antibacterial soaps may be used.
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Hidradenitis suppurativa is a chronic inflammatory process that affects skin areas with apocrine glands. The succession of these inflammatory events leads to destruction of these areas of skin appendages. The disease is not observed until after puberty, at which the apocrine glands are fully developed. It is also an uncommon inception after 40 or 50 years. It occurs in both sexes. In some women, there may appear premenstrual exacerbations that do not have a clear hormonal relationship.
Causes of HS
The causes are still unknown. There is also no association with diabetes, while there is a proven link with obesity. The most frequently isolated bacteria in suppurativa state are staphylococci, streptococci and anaerobes. The affected areas are those in which the skin has apocrine glands. Armpits, perineal region and sub-mammary area are the areas most often affected.
There is also some sexual predisposition like the axillary form more common in women, and perineal in men. Characteristic lesions are small subcutaneous nodules that progressively grow in size, sometimes until they get to form subcutaneous indurated plaques. The lesions are painful and appear indurated.
Hidradenitis is a disease that mainly affects the intertriginous areas, i.e. areas where two skin surfaces are contacted and may be rubbed, such as the armpits, groin, buttocks, around the anus, scrotum or inside thighs. Armpit and groin are the most commonly affected sites.
In most cases, the first lesion that is a solitary nodule is inflamed and painful. Over time, there may be other satellite nodules around. Lesions with black spots, like carnations, are common with Hidradenitis. These nodules are usually very painful and can last several days or months. At this stage, Hidradenitis is often under diagnosed because most people confuse it with a boil.