Hidradenitis is an inflammatory disease of the skin, “that if
detected and treated early can be controlled and avoid problems
so severe health that limit the mobility of affected patients.”
This was pointed out to CF Javier García Martínez, Service Specialist
Dermatology MQ and Venereology Hospital del Sureste in Arganda
(Madrid), who hand Abbvie, he gave a training workshop
focused on this pathology at the headquarters of CF last week.
As noted, although there is a study underway to detect the
prevalence in Spain, “it is believed to be a disease that affects 1
percent of the Spaniards and the lack of a clear diagnosis leads
many patients do not have adequate treatment and aggravated their
situation. “
- It is estimated to be a disease that affects 1 percent of the Spanish population
Its characteristics (presence of recurring inflammation, no
bacterial, hair follicles in English, armpits, abdominal folds or
perianal area), “can be confused with other dematológicos problems
as reverse acne and treated incorrectly, leading to
inflammation area as the disease advances even to
immobilize certain joints causing pain. “
This problem “suppurating wounds or abscesses and added
the smell that.” In fact, “these symptoms make it the
dermatological disease that affects the quality of life of
patients, even above the psoriasis , ” says García Martínez.
On a scale of impact the quality of life of 1 to 10, “these
patients scored by 9, when the psoriasis is between 5.6 and
7.3 , ” he explains. The smell and pain refer those affected “is
worse than the itching of psoriasis or dermatitis” he says. It not ,
however, “is a problem that can be mitigated if caught in time.”
The characteristic of the hidrosadenitis is the reappearance of
wounds. “The problem is repeated. It can appear months or a year
and in different areas , “he reports. This “must know the pharmacist
to refer cases to consider the primary care physician or
dermatologist, and it makes the diagnosis and treatment set
appropriate depending on the type of injury”. And, as reported,
“there are three levels of affectation” (I, II and III). Ideally ,
find the patient at the level I, ie, “when only
nodes”.
- Quitting smoking and losing weight are some tips you can offer the druggist
Level II presents abscesses and fistulas and III lesions are
distributed over large areas. In the last two levels the
treatment is more complicated and depend on the severity of the
injury. However, in the first, the dermatologist may recommend the
use of “topical antibiotics applied to the damaged area and measures
hygiene and diet to control the disease.”
At this level , “the pharmacist is very important because it can
advise, among other measures,” quit (associated with the
disease), losing weight (if overweight), and wear comfortable clothes
(cotton and baggy ” ) exposed. Smoking cessation is for the
expert, one of the main problems of these patients: ” They associate
the snuff with relief wounds and do not want to leave.” Therefore,
“in this sense the pharmacist can help a lot to offer
tools to quit.
Another tip I can give is to advise that laser hair removal “is
the cornerstone of treatment. The less hair on the body has
less inflammation of hair follicles, so that patients
develop less severe forms of the disease , “he reports. In this
case, “it is best to see a dermatologist who knows the disease and
use laser diode or alexandrite “.
“The use of blades for shaving the areas are also advised against
damaged, not irritate and worsen the wounds”. And although it also
is a bacterial disease, the pharmacist can advise “the use
of non – irritant and antiseptic soaps, because bacteria play an
important role in preventing infection of the affected area.”