Hidradenitis Suppurativa (Akne Inversa)

Hidradenitis suppurativa is usually manifested by inflammatory lesions similar to acne in different body parts, such as arm pits, inguinal areas, the inframammary fold and anogenital region due to high friction forces. These lesions may be recurrent. Severity of the disease varies for different individuals, while final diagnosis is made in patients with isolated lesions, but the condition may involve very large areas of the body or it may be associated with scars severe enough to restrict movement. Hidradenitis suppurativa (HS) decreases quality of life excessively due to recurrent painful lesions and scars. Studies show that diagnosis of this disease delays for 7 years on average.


What Causes Hidradenitis Suppurativa?

While the underlying cause is not exactly known, it is acknowledged that both genetic and environmental features have a role in its occurrence. Approximately one of every three patients has a relative with similar complaints. It is also known that obesity and smoking affect severity of the disease.

Diagnosis of Hidradenitis Suppurativa

Diagnosis is made by recognition of the typical lesions by an experienced clinician. A biopsy may be required in rare cases. Blood tests may be necessary to support the diagnosis or guide the treatment. In necessary situations, genetic analyses of the patients are also done.


Patients may also have diabetes, arthritis (especially spondyloarthropathies), diseases associated with acne, cardiovascular diseases and depression. It is important for the patients to be informed and investigated regarding these diseases.

Treatment and Supervision of Hidradenitis Suppurativa

Hidradenitis supporativa is a chronic disease which associates with recovery and exacerbation phases. The disease should, therefore, be followed up regularly. Lifestyle changes are important in terms of preventive treatments.

Surgical treatment may be necessary in some cases. These patients are treated through a multidisciplinary approach with the support of plastic surgery and reconstruction department in accordance with international clinical guides in our clinic.