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Causes

By Mayo Clinic staff

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Illustration showing hidradenitis suppurativa 
Hidradenitis suppurativa

Hidradenitis suppurativa develops when the oil (sebaceous) glands and hair follicle openings become blocked with fluid, dead skin cells and other matter released from surrounding apocrine sweat glands. When these substances mix with the oil from the sebaceous glands, they can become trapped and push into surrounding tissue. Bacteria can then trigger infection and inflammation.

It's not known why this blockage occurs, but a number of factors — including hormones, genetics, cigarette smoking and excess weight — may all play a role.

Sometimes hidradenitis suppurativa occurs with other diseases, such as Crohn's disease or Graves' disease.

References
  1. Hidradenitis suppurativa. American Osteopathic College of Dermatology. http://www.aocd.org/skin/dermatologic_diseases/hidradenitis_suppu.html. Accessed June 22, 2010.
  2. Alikhan A, et al. Hidradenitis suppurativa: A comprehensive review. Journal of the American Academy of Dermatology. 2009;60:539.
  3. Smith HS, et al. Painful hidradenitis suppurativa. Clinical Journal of Pain. 2010;26:435.
  4. Beshara MA. Hidradenitis suppurativa: A clinician's tool for early diagnosis and treatment. Advances in Skin and Wound Care. 2010;23:328.
  5. The morbidity of hidradenitis suppurativa. The Hidradenitis Suppurativa Foundation. http://www.hs-foundation.org/abouths/morbidity.htm. Accessed June 22, 2010.
  6. Stewart EG, et al. Treatment of hidradenitis suppurativa. http://www.uptodate.com/home/index.html. Accessed June 28, 2010.
DS00818 Sept. 21, 2010

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