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Recurring, painful sebaceous cyst below arm pit. Prescribed anti-allergy medication. Surgery required?

Hello Dr., What is the cure for recurring sebaceous cyst . I have been getting these for the past 2 -3 years and they are very very painful. They occur below the arm pit most of the time. Have been to several Dr s but this thing keeps reoccurring time and again. apart from anti allergy medicines please suggest something for the long run. Is a surgery recommended to remove the sebaceous bag once and for all.
Mon, 29 Oct 2012
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Allergist and Immunologist 's  Response
If this is occuring in the armpits and groins recurrently and always painful, you may be suffering from hiadrenitis suppurativa.
It is a condition that affects apocrine sweat glands, that can cause chronic scarring and pus formation. Several treatment options are available including surgical resection.
Tight cloting, obesity exacerbate the condition, and humid climate conditions do not help.
Combination of rifampicin and clindamycin helps in most cases, and 2nd line drugs include Vit A agents like roaccutane.
Hope that helps.
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