Chronic recurrent hydradenitis

Content

  • The concept of chronic recurrent hydradenitis
  • The course of chronic relapsing hidradenitis sup-
  • Treatment of recurrent chronic hidradenitis sup-
  • Prevention of recurrent chronic hidradenitis sup-



  • The concept of chronic recurrent hydradenitis

    Chronic recurrent hydradenitisSweat glands - simple tubular glands,found in almost all areas of the skin, with the exception of the red border of the lips, the glans penis and the inner layer of the foreskin. The total amount of about 2-2.5 million. Especially rich in sweat glands of the skin of pulp of fingers and toes, palms and soles, armpits and groin folds. The secret sweat glands - sweat - contains 98% water and 2% of solid residue from organic and inorganic substances.

    Since then distinguished products of protein metabolism(Urea, uric acid, ammonia, etc.), And some salt (sodium chloride, and others.). By the nature of the secretion of sweat glands are divided into merokrinnye (secrete sweat in the excretory duct without destroying the cytoplasm of the secretory cells) and apocrine (partial destruction of the cytoplasm of the secretory cells). The latter are in the skin armpits, anus, external genitalia. their Secret contains a large number of proteins, and has a pungent odor.

    Chronic recurrent hydradenitis - longcurrent purulent inflammation of the sweat glands. There are usually in the armpits (called bitch udder), much less - in the genital area of ​​both men and women - in the nipples and navel. More common in people who suffer from sweating. Predispose to the disease dermatitis (eczema, diaper rash), the weakening of the body, minor skin trauma (for example, when shaving hair in the armpit), failure to comply with hygiene rules, creating conditions for the penetration of pyogenic bacteria (staphylococcus, often golden) in the ducts of the sweat glands.



    The course of chronic relapsing hidradenitis sup-

    Chronic recurrent flows hydradenitislong, with exacerbations. When hydradenitis first in the subcutaneous tissue depth appears one or more dense painful, pea-sized nodules that grow rapidly to the size of a walnut. First, it is covered with intact skin, and then the surface becomes rough, purplish-red color.

    When melt infiltration appearsfluctuation and a small hole through the image stands out creamy pus. Duration of infiltration 10-15 days. Inflammation often extends to the subcutaneous fat. The skin over the inflamed gland blushes. In addition to the severe pain it is sometimes chills, malaise, body temperature rises.



    Treatment of recurrent chronic hidradenitis sup-

    When the first symptoms of the diseaseyou should immediately consult a doctor. As the treatment prescribed antibiotics - sulfonamides, nitrofurans, as well as autohemotherapy (performing intramuscular injections with his own blood).

    In chronic recurrent forms of hidradenitis sup-shall be required specific immunotherapy, restorative agent. Locally using dry heat, UHF. Good effect gives obkalyvanie infiltrate an antibiotic solution in novocaine. In the treatment of hidradenitis sup- successfully used radiotherapy. Further development of purulent inflammation can lead to the formation of an abscess, in this case, immediate surgical intervention (opening abscess small incision), which will prevent the spread of purulent inflammation and the development of serious complications - lymphadenitis, sepsis, cellulitis.

    To close the wound is not recommended to usebandages, which is rubbed into the skin of the pus, and stickers. Measures should be taken to prevent infection of the ulcer surrounding sweat glands, which is achieved by tanning the skin with alcohol, a skin treatment in the lesion 2% boron and 10% camphor alcohol and other tanning agents. Also shown irradiating skin with ultraviolet rays.



    Prevention of recurrent chronic hidradenitis sup-

    Patients gidradenity to preventexacerbation should be excluded from the diet alcohol, hot spices, limit sweets, it is recommended to include foods that are rich in vitamins A, C, E and iron (carrots, cabbage, apples, berries, rose hips, and others.). Important conditions for the prevention of hidradenitis sup- - personal hygiene and the treatment of hyperhidrosis.

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