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Definition

By Mayo Clinic staff

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Picture of hidradenitis suppurativa in armpit 
Hidradenitis suppurativa

Hidradenitis suppurativa (hi-drad-uh-NIE-tis sup-yoo-ruh-TIE-vuh) is a chronic skin condition that features pea-sized to marble-sized lumps under the skin. Also known as acne inversa, these deep-seated lumps typically develop where skin rubs together — such as the armpits, groin, between the buttocks and under the breasts.

The lumps associated with hidradenitis suppurativa are usually painful and may break open and drain foul-smelling pus. In many cases, tunnels connecting the lumps will form under the skin.

Hidradenitis suppurativa tends to start after puberty, persist for years and worsen over time. Early diagnosis and treatment of hidradenitis suppurativa can help manage the symptoms and prevent new lesions from developing.

References
  1. Goldsmith LA, et al., eds. Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=740. Accessed Feb. 11, 2013.
  2. Margesson LJ, et al. Pathogenesis, clinical features and diagnosis of hidradenitis suppurativa. http://www.uptodate.com/home. Accessed Feb. 11, 2013.
  3. Danby WF, et al. Hidradenitis suppurativa. Dermatologic Clinics. 2010;28:779.
  4. AskMayoExpert. Hidradenitis suppurativa. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
  5. Margesson LJ, et al. Treatment of hidradenitis suppurativa. http://www.uptodate.com/home. Accessed Feb. 11, 2013.
  6. Ferri FF. Ferri's Clinical Advisor 2013:5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-08373-7..00002-9&isbn=978-0-323-08373-7&about=true&uniqId=343863096-23. Accessed Feb. 11, 2013.
  7. Gibson LE (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 14, 2013.
DS00818 April 9, 2013

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