Hydradenitis suppurativa
Infection of “apocrine sweat glands” of axilla, groin, perineum or any skin fold.
Precipitating factors: Irritations by deodorants and excessive sweating
Presentation: multiple tender swellings under the arm or in the groin, these enlarge and discharge pus.
Treatment :
- maintain good hygiene
- Initial warm compresses and antibiotics as Doxycycline 100mg BID
- If fails, then complete excision of the infected tissue down to deep fascia with subsequent grafting or delayed closure.