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Dr. Andrew Rynne

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I Had A Sinus Formed In My Left Axilla, What Procedure Should Be Used ?

I am 24 yrs old male, last year i had a sinus formed in my left axilla hence i went to a dermatologist, he suggested an incision but it has reoccured again in my right axilla, now the doctor says its HIDRADENITIS SUPPURATIVA. Is it curable and if yes what procedure should be used ?
Mon, 31 Oct 2011
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  User's Response
's  Response
There is NO cure for this problem. You can't pass it on to any sexual partner. I have had over 25 surgeries to calm them down. The sweat gland gets infected and the line of bumps w/puss and blood keep coming. Antibiotics, keeping clean, lose weight, lower stress all are good things to do to a point but when it wants to rear it's painful head nothing short of having them cut out along w/skin graphs will help. Once the sweat gland is removed they usually don't come back in that same spot but in my case they grow next to it and the fight starts all over again. I have had General, Plastic and a Colorectal Surgeons to work on me and within a few years they are back w/a vengeance.
They usually start at puberty, women, blacks and heredity are the ones who get it most. Men black and white get it to but it still runs in the family.
Also they run near the nerves so shooting pain happens but a little good news they won't go into the muscles or the bone. Deep they can get but not that deep.
General & Family Physician,  Dr. Jitender Chauhan's  Response
Hello, welcome to Healthcaremagic. Hidradenitis suppurativa is a skin disease that most commonly affects areas bearing apocrine sweat glands or sebaceous glands, such as the underarms, breasts, inner thighs, groin and buttocks. There is no known cure nor any consistently effective treatment. Carbon dioxide laser surgery is currently considered the last resort for those who have advanced to its highest stage, where the affected areas are excised, and the skin is grafted. Due to the poorly studied nature of this disease, the effectiveness of the drugs and therapies is not yet clear, and you should discuss all options with your doctor or dermatologist. Nearly a quarter of patients state that nothing relieves their symptoms. Presently lifestyle changes, medications, surgery and radiation are the options for treatment. Wish you good health.
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Dermatologist,  Dr. Puvvula Kishore Kumar's  Response
Hi....Mr.Anurut...

welcome to HCM....,

Thanks for your Query..,

No doubt it is HIDRDENITIS SUPPURATIVA..,

1) it is pyogenic infection of apocrine gland due to obesity, hyperhidrosis( more sweat) , irritation of clothing, shaving of hairs by unsterilized blades..,

2) staphlococcus bacteria is caustive agent

3) Treatment ....unsatisfactory.....,

but...a) keeping hairs short in the affected part by using
sterile scissors..,
b) Bathing with Potassium permonganate solution..,
c) Affected part should make dry and clean..,
d) Local application of gentian volet is beneficial..,
e) X-ray therapy also benefit''',
f) Surgical exicision of pus and sinus.., followed
by skin grafting is choice of treatment ..,
g) Ceftum (Cefaclor) 250 mg 2 daily for 7 days gives
good result....o.k goodluck
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I Had A Sinus Formed In My Left Axilla, What Procedure Should Be Used ?

There is NO cure for this problem. You can t pass it on to any sexual partner. I have had over 25 surgeries to calm them down. The sweat gland gets infected and the line of bumps w/puss and blood keep coming. Antibiotics, keeping clean, lose weight, lower stress all are good things to do to a point but when it wants to rear it s painful head nothing short of having them cut out along w/skin graphs will help. Once the sweat gland is removed they usually don t come back in that same spot but in my case they grow next to it and the fight starts all over again. I have had General, Plastic and a Colorectal Surgeons to work on me and within a few years they are back w/a vengeance. They usually start at puberty, women, blacks and heredity are the ones who get it most. Men black and white get it to but it still runs in the family. Also they run near the nerves so shooting pain happens but a little good news they won t go into the muscles or the bone. Deep they can get but not that deep.