What is hidradenitis suppurativa?

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that causes painful lumps beneath the skin. It often develops where skin touches or rubs together, such as the underarms, groin, inner thighs, buttocks, and beneath the breasts. HS is not contagious, and it is not caused by poor hygiene.

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Common signs of HS

HS can look like acne or recurring boils, especially at first. Common signs include:

  • Tender, deep lumps that return in the same area
  • Painful bumps that swell or drain
  • Sores that heal slowly
  • Scarring or tunnels that form beneath the skin over time

Symptoms vary from person to person. A dermatologist can determine whether these changes are HS or another skin condition.

When to see a dermatologist

Make an appointment if you have painful lumps or boils that keep returning, especially in the underarms, groin, or other areas where skin rubs together. You do not need to wait for symptoms to become severe. An evaluation can help you get an accurate diagnosis and discuss ways to manage symptoms.

HS treatment options

Treatment depends on your symptoms, the areas affected, and how HS is affecting your daily life. A care plan may include skin-care and wound-care guidance, prescription medications, or procedures when appropriate. The goal is to reduce flare-ups, relieve discomfort, and help prevent the condition from worsening. Your dermatology provider can explain which options make sense after an evaluation.

Why choose HK Dermatology?

At HK Dermatology, we understand that living with HS can be physically and emotionally challenging. We offer specialized, compassionate care tailored to your unique journey:

  • Home of the Tumescent Technique: Our own Dr. Jeffrey Klein is the world-renowned inventor of tumescent local anesthesia. He has pioneered the use of Tumescent Drug Delivery (TDD) using ertapenem to provide patients with an advanced, painless treatment path that eliminates severe pain, drainage, and odor without requiring general anesthesia.
  • Comprehensive Care Plans: We combine advanced medical therapies, lifestyle guidance, and specialized targeted procedures to treat your condition from every angle.
  • A Supportive, Judgment-Free Environment: Your comfort and privacy are our top priorities. We provide an empathetic space where you can speak openly about your symptoms.

Request an appointment: Call (949) 248-1632.

Frequently asked questions

Is HS contagious?
No. You cannot catch HS from someone else or pass it to another person.

Is HS caused by poor hygiene?
No. HS is an inflammatory condition; it is not caused by being unclean.

Is HS the same as acne or a boil?
HS can resemble acne or boils, but it is a different condition. Recurring lumps in areas such as the underarms or groin are a good reason to seek a dermatology evaluation.

Can HS be cured?
There is currently no cure for HS, but treatment can help manage symptoms and reduce flare-ups.

What happens at an HS appointment?
A dermatology provider will ask about your symptoms and examine the affected skin. They can then discuss a diagnosis and appropriate treatment options with you.

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