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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Cure Blisters Under The Arm?

I hav recently had a operation to remove boils on my left underarm & on the upper part of my right arm. While still in the process of healing from my operation ,suddenly I have 2 more boils coming out on my right underarm. Please advice how 2 treat as I am not prepared to go through another operation & da healing tym is quite long and I can t afford to take more time off work
Mon, 17 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

I will keep a possibility of Recurrent Furuncle/Boils but I would like to rule out Hidradenitis suppurativa(HS).
Furuncle/Boil is bacterial infection of the skin and soft tissue; the infection gaining entry through the hair follicle.
Sweating and rubbing/friction being factors that contribute to recurrent boils in the axilla.
Shaving in this area can also provide portal to entry of bacteria. It should be avoided.
Hidradenitis Suppurative, on the other hand, is a disease of the apocrine sweat glands bearing sites like perineaum, axilla, areola etc where the inciting factor is follicular occlusion with secondary bacterial colonization.
HS is also associated with scaring from previously healed lesions and sinus tracts. This is quite distinctive of HS
The best way to approach in your case is to start on an empirical oral antibiotic for a week OR 10 days (My choice of oral antibiotic would have been either flucloxacillin OR Cephalexin OR Cefadroxil).
An OTC antibacterial cream/ointment e.g 2% mupirocin can be applied twice daily.
An OTC pain killer e.g ibuprofen once or twice daily would help you deal with the pain.
I would also suggest a blood sugar test to rule out diabetes.

Regards
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How To Cure Blisters Under The Arm?

Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of Recurrent Furuncle/Boils but I would like to rule out Hidradenitis suppurativa(HS). Furuncle/Boil is bacterial infection of the skin and soft tissue; the infection gaining entry through the hair follicle. Sweating and rubbing/friction being factors that contribute to recurrent boils in the axilla. Shaving in this area can also provide portal to entry of bacteria. It should be avoided. Hidradenitis Suppurative, on the other hand, is a disease of the apocrine sweat glands bearing sites like perineaum, axilla, areola etc where the inciting factor is follicular occlusion with secondary bacterial colonization. HS is also associated with scaring from previously healed lesions and sinus tracts. This is quite distinctive of HS The best way to approach in your case is to start on an empirical oral antibiotic for a week OR 10 days (My choice of oral antibiotic would have been either flucloxacillin OR Cephalexin OR Cefadroxil). An OTC antibacterial cream/ointment e.g 2% mupirocin can be applied twice daily. An OTC pain killer e.g ibuprofen once or twice daily would help you deal with the pain. I would also suggest a blood sugar test to rule out diabetes. Regards