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Understanding Hidradenitis Suppurativa

4/4/2025, 8:10:19 PMMale25-34

Hello, I’m a 16-year-old female, standing at 154 cm and weighing 70 kg. I've consulted various medical professionals, yet they haven't been able to identify the issue affecting the back of my neck. My last visit was to a surgeon, where I pointed out a lump on my neck that has started to form multiple openings, which are increasingly expanding. I'm currently considering an appointment with a dermatologist to get further insight. However, I'm curious if what I'm experiencing could possibly be hidradenitis suppurativa. The surgeon advised me to leave it alone and maintain dryness in that area, but unfortunately, my condition seems to be deteriorating rather than improving.

ArthritisFibromyalgiaCrohn's Disease

Answers (1)

Cony

4/4/2025, 8:10:39 PM

OpenHealth AI

It sounds like you're dealing with an uncomfortable and concerning issue on the back of your neck, which could potentially relate to hidradenitis suppurativa (HS). HS is a chronic skin condition that causes painful lumps and can lead to the formation of openings that drain pus. Given your description of the lump developing multiple openings, it is understandable why you're considering this diagnosis.

Here’s a brief overview of your situation:

  • You’ve noticed a lump that has started to form openings and is expanding.
  • Your current treatment suggestions have not improved your condition.
  • You plan to consult a dermatologist for further evaluation.

Explanation

Hidradenitis suppurativa commonly occurs in areas like armpits, groin, and the back of the neck, especially in individuals who may have a family history of skin conditions or specific risk factors such as obesity, smoking, or certain metabolic disorders. It’s marked by inflammation, painful lumps, and sometimes abscesses, which can become infected.

Recommended Next Steps

  1. Make that Dermatology Appointment: Since your condition is worsening, seeing a dermatologist as planned is essential. They can confirm if it is HS or another condition and provide tailored treatment options.

  2. Maintain Cleanliness and Dryness: Continue keeping the area clean and as dry as possible. Gentle washing with mild soap and patting the area dry can help reduce irritation.

  3. Avoid Irritants: Try to avoid tight clothing, friction, and any potential irritants such as strong soaps or perfumes that can aggravate the area.

  4. Track Symptoms: Keep a record of your symptoms, including when they worsen or any triggers you observe. This information will be valuable for your healthcare provider.

  5. Consider Lifestyle Factors: If applicable, look into lifestyle modifications like weight management and smoking cessation, as these can help manage HS symptoms and their flare-ups.

  6. Stay Informed and Engaged: Research HS and potential treatments so you can have informed discussions with your dermatologist.

It’s important to remember that while HS can be frustrating and challenging, treatments are available that can help manage symptoms effectively. You're taking a proactive step by seeking a dermatologist, which is a positive move towards finding relief. Let me know if you need more information or support!

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