How to diagnose?

Hidradenitis suppurativa: Learn more about the condition also known as “acne inversa”

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Skin issues are always complex because they generate a series of insecurities and effects on self-esteem. However, that doesn't mean they don't need to be investigated and treated, does it? This is the case with hidradenitis suppurativa, a condition commonly confused with acne.

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According to dermatologist Cristiane Simões, hidradenitis suppurativa consists of a chronic disease that is difficult to manage. “Sometimes it causes extreme frustration in patients who are affected by it due to the recurrence of lesions. And also in doctors, who often need to change therapies during clinical follow-up, ”she says.

 

Also called acne inversa, this condition still generates controversy in the medical community, as its causes are not fully known. Its origin is believed to be inflammation or infection of the sweat glands. In addition, there are already studies that point to hair follicles as the source of the initial process.

 

In addition to a medical evaluation, it is necessary to perform neurological examinations, as they assess muscle strength, sensitivity, reflexes and whether there are progressive neurological changes that may affect the central nervous system. The doctor can also use maneuvers that cause or relieve pain, guiding the diagnosis, as well as requesting imaging tests (cervical spine X-ray, cranial and cervical tomography and magnetic resonance imaging). To treat the problem, the ideal is to look for a spine surgeon, neurosurgeon or orthopedist. In specific cases, the help of a rheumatologist, physiatrist or neurologist is also required.

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Vicky Kaushal

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