condition called hydradenitis suppurativa can occur in certain individuals. The
cause is unknown.
blockage of the sweat glands causes recurring in-flammation, nodules, and
draining sinus tracts. Eventually, hy-pertrophic bands of scar tissue form in
the area of the sweat glands.
condition occurs more frequently in the axilla but also appears in inguinal
folds, on the mons pubis, and around the buttocks. The patients can be
extremely uncomfortable with multiple suppurative lesions within a small area.
This condition does not appear before puberty and does appear to have a genetic
Management is difficult. Hot compresses and oral antibiotics
are used frequently. Isotretinoin (Accutane) or etretinate can be tried;
careful monitoring for side effects is important. Incision and drainage of
large suppurating areas with gauze packs inserted to facilitate drainage is
often necessary. Rarely, the entire area is ex-cised, removing the scar tissue
and any infection. This surgery is drastic and attempted only as a last resort