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What is the history of Hidradenitis Suppurativa?
When was Hidradenitis Suppurativa discovered? What is the story of this discovery? Was it coincidence or not?
HS was first described in 1839 by French physician Alfred Velpeau, hence it was initially called Velpeau's disease. In 1854, Aristide Verneuil also described HS, so it is also known as Verneiul's disease. It is believed that Karl Marx suffered from HS and that its effects contributed to his writing. Only now, is HS just beginning to be recognized and acknowledged. Still, there are many medical professionals who have never heard of it.
Posted Aug 21, 2017 by Penny 2150
Translated from spanish
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What is Hidradenitis Suppurativa?
Hidradenitis suppurativa (HS), also known as
acne inversa or Hidrosadenitis, is an inflammatory disease that
it affects the skin, produced by the blockage of follicle pilosebá-
ceo (the cavity where it is born the hair and sebum) in the
there is an imbalance of the immune system subyacente1
.
Is a chronic, recurrent and debilitante2
.
Is not a contagious disease nor is it
transmits sexualmente3.
Nor is it a disease caused by a infección4.
Not due to the habits of hygiene, or lavado3.
What?
It is estimated that 1 to 4% of the population has HS.
Tends to affect more women and it is usually more
severe hombres4
.
Usually appears after puberty, between
the 20 and 30 years of age, however, sometimes the
disease makes its debut at older ages 3,6.
Their severity seems to decrease with the years.
20-30 years
Who?
Currently still the cause is not known, but it seems
the genetic and hormonal factor influencing some casos5
.
The blocked follicle pilosebaceous, can not leave the content
of the apocrine glands located in the hair follicles
hair of the folds, which causes the formation of cysts
that usually infected by their own bacteria (such as Staphylococcus
aureus) present in the piel4
.
In parallel to this event, the immune response
that occurs as a result of this obstruction
and follicular rupture is altered, producing a reaction
exaggerated inflammatory.
Why?
4
What are the features?
Is characterized by the presence of inflammatory lesions
painful, occasionally supurativas (secrete pus) and foul-smelling
in skin folds where there are plenty glands
apocrine sweat; specifically around the
armpits, breasts, groin, anus, buttocks and genitales5,7.
Manifests with nodules (bumps) red that appear
and grow rapidly until they break, forming ulcers, abscesses
inflamed, tunnels under the skin and cicatrices4
.
The first signs are itching localized, burning, redness
and the appearance of a pain sharp. In this context, appear
nodules and painful abscesses and occasionally supurativos that
can be transformed into a fistula and with the time in cicatrices6
.
5
Abscesses only usually heal leaving scars
that end opening in the skin. The multiple abscesses are connected
each other forming tunnels, or fistulas below the piel4
.
If you press the injuries can leave pus liquid or dense
can be maloliente4
. The drainage tends to relieve the pain they produce.
In women the lesions are more frequent under the arms,
breasts and thighs, whereas in men, are presented
in buttocks and ingles4
.
There are alternating periods of high disease activity
(with the pain flares up frequently), and periods of remission (without
outbreaks)3
.
English
Breasts
Armpits
Buttocks
Thighs
6
What different grades are there?
MODERATE
About 25% of patients have
this form, characterized by the presence of
painful nodules and recurrent associated
the presence of abscesses and fistulae
in low numbers in one or more areas
of the body. These nodules and abscesses may
rupture and drain and re-form.
May develop scars.
SERIOUS
Affects 4% of the patients with HS, the
which have outbreaks of abscesses
painful continuously. Presented
large swollen areas that do not
resolve spontaneously and that produce
pain and oozing virtually
constant.
MILD
The majority of patients (70%) have the
milder form. Manifest painful points
during a few weeks in a row
for periods of weeks or even months
without problems. These cases are usually
do not progress to severe cases
MODERATE
About 25% of patients have
this form, characterized by the presence of
painful nodules and recurrent associated
the presence of abscesses and fistulae
in low numbers in one or more areas
of the body. These nodules and abscesses may
rupture and drain and re-form.
May develop scars.
SERIOUS
Affects 4% of the patients with HS, the
which have outbreaks of abscesses
painful continuously. Presented
large swollen areas that do not
resolve spontaneously and that produce
pain and oozing virtually
constant.
Hidradenitis suppurativa (HS), also known as
acne inversa or Hidrosadenitis, is an inflammatory disease that
it affects the skin, produced by the blockage of follicle pilosebá-
ceo (the cavity where it is born the hair and sebum) in the
there is an imbalance of the immune system subyacente1
.
Is a chronic, recurrent and debilitante2
.
Is not a contagious disease nor is it
transmits sexualmente3.
Nor is it a disease caused by a infección4.
Not due to the habits of hygiene, or lavado3.
What?
It is estimated that 1 to 4% of the population has HS.
Tends to affect more women and it is usually more
severe hombres4
.
Usually appears after puberty, between
the 20 and 30 years of age, however, sometimes the
disease makes its debut at older ages 3,6.
Their severity seems to decrease with the years.
20-30 years
Who?
Currently still the cause is not known, but it seems
the genetic and hormonal factor influencing some casos5
.
The blocked follicle pilosebaceous, can not leave the content
of the apocrine glands located in the hair follicles
hair of the folds, which causes the formation of cysts
that usually infected by their own bacteria (such as Staphylococcus
aureus) present in the piel4
.
In parallel to this event, the immune response
that occurs as a result of this obstruction
and follicular rupture is altered, producing a reaction
exaggerated inflammatory.
Why?
4
What are the features?
Is characterized by the presence of inflammatory lesions
painful, occasionally supurativas (secrete pus) and foul-smelling
in skin folds where there are plenty glands
apocrine sweat; specifically around the
armpits, breasts, groin, anus, buttocks and genitales5,7.
Manifests with nodules (bumps) red that appear
and grow rapidly until they break, forming ulcers, abscesses
inflamed, tunnels under the skin and cicatrices4
.
The first signs are itching localized, burning, redness
and the appearance of a pain sharp. In this context, appear
nodules and painful abscesses and occasionally supurativos that
can be transformed into a fistula and with the time in cicatrices6
.
5
Abscesses only usually heal leaving scars
that end opening in the skin. The multiple abscesses are connected
each other forming tunnels, or fistulas below the piel4
.
If you press the injuries can leave pus liquid or dense
can be maloliente4
. The drainage tends to relieve the pain they produce.
In women the lesions are more frequent under the arms,
breasts and thighs, whereas in men, are presented
in buttocks and ingles4
.
There are alternating periods of high disease activity
(with the pain flares up frequently), and periods of remission (without
outbreaks)3
.
English
Breasts
Armpits
Buttocks
Thighs
6
What different grades are there?
MODERATE
About 25% of patients have
this form, characterized by the presence of
painful nodules and recurrent associated
the presence of abscesses and fistulae
in low numbers in one or more areas
of the body. These nodules and abscesses may
rupture and drain and re-form.
May develop scars.
SERIOUS
Affects 4% of the patients with HS, the
which have outbreaks of abscesses
painful continuously. Presented
large swollen areas that do not
resolve spontaneously and that produce
pain and oozing virtually
constant.
MILD
The majority of patients (70%) have the
milder form. Manifest painful points
during a few weeks in a row
for periods of weeks or even months
without problems. These cases are usually
do not progress to severe cases
MODERATE
About 25% of patients have
this form, characterized by the presence of
painful nodules and recurrent associated
the presence of abscesses and fistulae
in low numbers in one or more areas
of the body. These nodules and abscesses may
rupture and drain and re-form.
May develop scars.
SERIOUS
Affects 4% of the patients with HS, the
which have outbreaks of abscesses
painful continuously. Presented
large swollen areas that do not
resolve spontaneously and that produce
pain and oozing virtually
constant.
Posted Aug 12, 2017 by NAT 1910
