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Which are the causes of Hidradenitis Suppurativa?

See some of the causes of Hidradenitis Suppurativa according to people who have experience in Hidradenitis Suppurativa

Hidradenitis Suppurativa causes

Hidradenitis Suppurativa (HS) is a chronic inflammatory skin condition that affects the apocrine sweat glands, typically in areas where skin rubs together, such as the armpits, groin, and buttocks. The exact cause of HS is still not fully understood, but it is believed to be a multifactorial disease with several contributing factors.



Genetics


Genetic predisposition plays a significant role in the development of HS. Studies have shown that individuals with a family history of HS are more likely to develop the condition themselves. Certain genetic variations may affect the immune system and the body's ability to control inflammation, making some individuals more susceptible to HS.



Hormonal Factors


Hormonal imbalances have been linked to the development and worsening of HS. The condition tends to occur after puberty when hormone levels are fluctuating. Androgens, a group of hormones including testosterone, have been implicated in HS as they stimulate the apocrine sweat glands. Hormonal changes during menstruation and pregnancy can also influence the severity of symptoms in some women.



Obesity


Obesity is a significant risk factor for HS. Excess weight can lead to increased friction and sweating in skin folds, creating an environment conducive to the development of HS. Moreover, obesity is associated with chronic low-grade inflammation, which may contribute to the disease's progression.



Smoking


Smoking has been identified as a potential trigger for HS. It is believed that smoking damages the lining of hair follicles and impairs the immune system's ability to respond effectively, leading to the development or worsening of HS symptoms. Quitting smoking may help improve the condition and reduce flare-ups.



Immune System Dysfunction


Abnormalities in the immune system are thought to play a role in HS. The immune system's response to normal skin bacteria may be exaggerated in individuals with HS, leading to inflammation and the formation of abscesses. Additionally, an overactive immune response can contribute to the chronic nature of the disease.



Blockage of Hair Follicles


Blockage of hair follicles is a key factor in the development of HS. The exact cause of the blockage is unknown, but it is believed to involve a combination of factors, including excessive sweating, friction, and abnormal keratinization (the process of skin cells forming hair). When the hair follicles become blocked, they can become infected and inflamed, leading to the characteristic painful nodules and abscesses of HS.



Other Factors


Several other factors may contribute to the development or worsening of HS, although their exact role is not yet fully understood. These include:



  • Stress: Stress can exacerbate HS symptoms, although it is not considered a direct cause of the condition.

  • Environmental Factors: Exposure to certain environmental factors, such as heat and humidity, may trigger or worsen HS symptoms.

  • Autoimmune Factors: Some studies suggest that HS may have an autoimmune component, where the immune system mistakenly attacks healthy tissues.

  • Bacterial Infections: Bacterial infections, particularly with Staphylococcus aureus, can contribute to the inflammation and progression of HS.



It is important to note that while these factors are believed to contribute to the development of HS, the condition can vary greatly among individuals. Each person's experience with HS may be influenced by a unique combination of these factors, making it a complex and challenging condition to manage.


Diseasemaps
5 answers
Causes of HS are unknown. Things such as "being overweight" and smoking have been cited as contributors, but the truth is that many people with HS are skinny non-smokers. I mean nothing derogatory by that, but without research, there is no way of knowing the true cause. We do know that it is a defect in the body's autoimmune system. It is possible there is a defect in the hair follicle itself caused by genetics. Until thorough research is conducted, there is no absolute answer to that question.

Posted Aug 21, 2017 by Penny 2150
Translated from spanish Improve translation
. To what extent is HS caused by genetic factors?
There are two forms of HS, familial and sporadic. The HS family is one in which
the affected individual has blood relatives who are also affected, although the degree of
involvement can be very different. Assumes at least 40% of the cases, while our research
in the Spanish population indicate that we might get to correspond to 85% of the cases. The HS family is
a hereditary disease and is directly caused by genetic factors, i.e. mutations
specific genes in our genome, which can be identified through analysis genéticomoleculares.
For its part, the HS sporadic is one in which the affected individual do not have blood relatives with
HS. This can be explained both because his HS does not have genetic origins as by the fact that yes
the have and have not seen other family members affected - either because the mutation original founder of
the disease has occurred in that particular patient (who may have descendants affected), well
because the chance of the inheritance has done that you do not have affected relatives known.
In any case, it should be clear that as a general rule, not all the descendants of a patient
HS will inherit the disease.

Posted Aug 12, 2017 by NAT 1910
Translated from portuguese Improve translation
The causes are still somewhat unknown. But, I believe, that combined with the genetic condition, the part of the hormonal will be linked to the disease.

Posted Aug 12, 2017 by Ana 1000
Translated from portuguese Improve translation
We do not know the causes of the disease but I think that genetics and hormones come into her home.

Posted Oct 1, 2017 by Sonia 1000

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Stories of Hidradenitis Suppurativa

HIDRADENITIS SUPPURATIVA STORIES
Hidradenitis Suppurativa stories
It started in 2003 when I got a pilonidal cyst that had to be surgically removed. For the years after, I would deal with flares starting from my thighs and the back of my neck and eventually around the armpits, breasts and leg creases. I was too scar...
Hidradenitis Suppurativa stories
I've had HS since I was 20, and am now 40.  I also had the pilonidal cyst which is very closely related.  I've been to many dermatologists and GPs without any success. Tried many treatments...  I do finally have it under control at this point. �...
Hidradenitis Suppurativa stories
Had recurring boils during late teens/early twenties. Doctors told me it was clogged hair follicles. Had one doctor lance one and not very gently.  I had first surgery in 2008 on a pilonidal cyst. That doctor didn't mention HS, but he left a hole i...
Hidradenitis Suppurativa stories
It can take forever and a whole lot of stubbornness to get a diagnosis. If you know something is wrong keep pursuing the answers, Dr's have become lazy in their diagnostic skills. Keep looking!
Hidradenitis Suppurativa stories
My story began at the age of 13. I had developed pneumonia. Shortly after getting treatment, I started to develop bumps on my inner thighs as well as my labia and vaginal lips. They were almost like pimples, but larger. They would hurt and pop on the...

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Hidradenitis Suppurativa forum

HIDRADENITIS SUPPURATIVA FORUM
Hidradenitis Suppurativa forum
I have a lifetime experience with this disease.  There seems to be emerging evidence that dairy and nightshade vegetables create the conditions for HS proliferation.    I can demonstrate potato's cause an inflamation two hours later...
Hidradenitis Suppurativa forum
I might be reseaving ribuximab or  immune suppressants for a autoimmune  condition but  can't find out if it would make the HS worse, and I don't see the dermo till 2 weeks after the other doctor who'll decide what treatment to put me ...

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