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What is HS stages?

Stage I: solitary or multiple isolated abscess formation without sinus tracts or scarring. Stage II: Recurrent abscesses, single or multiple widely spaced lesions, with sinus tract formation. Stage III: Diffuse involvement of an area with multiple interconnected sinus tracts and abscesses.
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What does Stage 3 of HS look like?

Symptoms and development of stage 3 HS

Symptoms may include: abscesses, which are fluid-filled bumps that may break open and release odorous pus and blood. spots that look like blackheads and usually occur in pairs. sinus tracts, which are tunnels under the skin.
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What does Stage 2 HS look like?

Stage 2 HS lesions are widely spread apart and present as large lumps or abscesses that are inflamed and filled with pus and fluid. Lesions may break open and leak out strong-smelling pus and fluid. Over time, scarring and draining sinus tracts form on the affected areas of the skin.
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What is Stage 1 vs Stage 2 HS?

Stages of HS

Hurley Stage 1: This is the mildest stage and includes single or multiple boils, abscesses, or nodules. There is no scarring, and tracts between the lesions have not formed. Hurley Stage 2: At this stage, a person has recurrent abscesses.
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What does Stage 1 HS look like?

HS hurley stage 1 usually causes small, firm lumps of bumps in the skin, which can become swollen and sore. Often stage one HS lesions will burst open, and drain pus. Sometimes they will resolve but recur in the same location. This is a tell-tale sign.
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Hidradenitis Suppurativa (HS) | Pathophysiology, Triggers, Signs & Symptoms, Diagnosis, Treatment

Does HS always progress to Stage 3?

Not everyone who has the disease will go on to develop stage III hidradenitis suppurativa, but one 2018 study published in Dermatology found that people who progressed quickly from Hurley stage I to Hurley stage II—which experts defined as a period of three years—were the most likely to experience stage III symptoms.
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What is the most painful disease HS?

Hidradenitis suppurativa (HS) is a painful, long-term skin condition that causes skin abscesses and scarring on the skin. The exact cause of hidradenitis suppurativa is unknown, but it occurs near hair follicles where there are sweat glands, usually around the groin, bottom, breasts and armpits.
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Does HS get worse as you get older?

No. Once it has started, it will persist. It may get less symptomatic with advancing age, especially after menopause.
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Do HS tunnels go away?

Some people get tunnels under their skin, called sinus tracts, which connect different areas of HS outbreaks. The bumps and leaky pockets can go away and come back. In severe cases, they don't fully heal.
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How do you stop HS from progressing?

Advice that dermatologists give their patients
  1. Wash your skin with an antimicrobial wash. ...
  2. Quit scrubbing your skin. ...
  3. Take care when shaving or waxing skin with HS. ...
  4. Consider laser hair removal as a way to remove hair where you have HS. ...
  5. Treat a painful lump at home with heat. ...
  6. Avoid sweating and overheating.
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How do you know what stage of HS you have?

Diagnosing and classifying HS requires thorough clinical assessment of both active disease and the irreversible damage that may result from chronic recurrence. The Hurley staging system categorizes patients into 3 groups based largely on the presence and extent of lesions, scarring, and sinus tracts.
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What triggers HS?

Hidradenitis suppurativa develops when hair follicles become blocked, but why this blockage occurs isn't known. Experts think it could be connected to hormones, genetic predisposition, cigarette smoking or excess weight.
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Can HS turn into sepsis?

Sepsis and septic shock are not all that common with HS, however, given that our abscesses can easily become infected, it is still a possibility and should be taken very seriously.
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Is HS considered a disability?

The Social Security Administration (SSA) recognizes hidradenitis suppurativa (HS) as a potentially disabling disease. For HS to be considered a disability, your symptoms must be severe enough to keep you out of work for 12 months or longer.
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Can HS become cancerous?

HS can also lead to basal cell carcinoma, the most common skin cancer. SCC is a rare complication of HS, but it can spread throughout the body and can be deadly. Many case reports of SCC developing from HS lesions have been published.
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What happens if HS is left untreated?

If left untreated, it can grow deeper into the tissue and over time can lead to painful fluid-filled lumps or thick scars.
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Can you pop HS bumps?

Although HS bumps might look like acne, it's way different, and squeezing or otherwise manipulating the nodules can actually make things worse, according to the American Academy of Dermatology (AAD). HS cysts can lead to painful, inflamed open wounds, scars, or lesions that form tunnels under the skin.
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Does HS lower life expectancy?

Patients with HS die at a substantially younger age than those with melanocytic naevi and those with psoriasis, even though patients with psoriasis are known to carry an increased mortal- ity risk.
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Is HS worse in the summer?

Your HS may get worse in the summer, when heat and sweat can trigger a flare-up. Swimming is a good way to get exercise without overheating. Don't shave near a breakout. If your razor irritates your skin, laser hair removal may be a better choice.
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Why is my HS burning?

Types of HS Pain

Acute pain is the severe, sharp pain that arises from inflamed cysts, nodules, and abscesses that often need immediate treatment to release accumulated pus. Acute pain is typically described as burning, stinging, shooting, and stabbing. Acute pain can develop during HS flares.
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Can HS turn into lymphoma?

There is increasing evidence that HS patients are prone to developing hematological malignancies, with HS being associated with a 2- to 4-fold increased lifetime risk of lymphoma development.
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Does Vicks Vapor Rub help hidradenitis suppurativa?

Vicks VapoRub for HS

There is no scientific evidence to prove its safety or efficacy, but applying Vicks VapoRub could reduce pain or mask the odor that exudes from hidradenitis suppurativa flares. Vicks VapoRub contains camphor and menthol, which are considered topical analgesics.
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What is the best cream for HS?

STEP 1
  • Topical treatments.
  • Clindamycin. ...
  • Fusidic acid. ...
  • Other topical antibiotics. ...
  • Benzoyl peroxide associated to clindamycin. ...
  • Topical retinoid. ...
  • Resorcinol cream. ...
  • Intralesional steroid. Intralesional triamcinolone acetonide in the concentration of 5 to 10mg/mL is used for the treatment of acute inflammation and abscesses.
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