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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bad Cysts Busting Like String And Exploding Blood And Puss On Neck Around Hairline, Creases Of Legs And Public Hairy Area. Any Hopes?

my husband suffers really bad with cysts, or so that's what we've been told ... he's been to family doctors, dermatologists, specialists... the last answer we got was, that there is nothing that could be done about the situation and that he will live like this forever.. I cultured 3 different types of the bumps he had and after days in the lab it came back as skin foria... he gets them around his hair line on his neck, in the creases of his legs and in the pubic area, where there is hair.... some of them bust like string, others explode, like fly across the room and all over me, some come out clumpy and its mixed with blood and yellow puss. the ones that are green, smell like its rotten...he has had them lanced and they come right back.. I think that hair is unable to poke through the skin and it starts to fester and rot.. sometimes I can pull out a hair that's over an inch long and all curled up... so, is there really no hope?
Thu, 7 Nov 2013
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Dermatologist 's  Response
Hi.
>Seems your husband is suffering from Hidradenitis suppurativa.
>Its a condition which involves Apocrine gland bearing sites like Axilla, Groin, Areola etc.
>The condition is chronic and forms abcesses, sinuses and nodules at these sites.
>Old lesions heal with Scaring and new lesions develop nearby.

treatment modalities are numerous, To name a few:

1. Antibiotics- taken orally, these are used for their anti-inflammatory properties rather than to treat infection. Most effective is a combination of rifampicin and clindamycin given concurrently for 2–3 months. A few popular antibiotics used to treat hidradenitis suppurativa include tetracycline, minocycline, and clindamycin.
2. Corticosteroid injections. Also known as intralesional steroids: can be particularly useful for localized disease, if the drug can be prevented from escaping via the sinuses.
3. Vitamin A supplementation
4. Anti-androgen therapy: hormonal therapy with cyproterone acetate and ethinyl estradiol.
5. IV or subcutaneous infusion of anti-inflammatory (anti-TNF-alpha) drugs such as infliximab, etanercept and adalimumab.

Consult a dermatologist. He would advice the best possible treatment for your husband
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Bad Cysts Busting Like String And Exploding Blood And Puss On Neck Around Hairline, Creases Of Legs And Public Hairy Area. Any Hopes?

Hi. Seems your husband is suffering from Hidradenitis suppurativa. Its a condition which involves Apocrine gland bearing sites like Axilla, Groin, Areola etc. The condition is chronic and forms abcesses, sinuses and nodules at these sites. Old lesions heal with Scaring and new lesions develop nearby. treatment modalities are numerous, To name a few: 1. Antibiotics- taken orally, these are used for their anti-inflammatory properties rather than to treat infection. Most effective is a combination of rifampicin and clindamycin given concurrently for 2–3 months. A few popular antibiotics used to treat hidradenitis suppurativa include tetracycline, minocycline, and clindamycin. 2. Corticosteroid injections. Also known as intralesional steroids: can be particularly useful for localized disease, if the drug can be prevented from escaping via the sinuses. 3. Vitamin A supplementation 4. Anti-androgen therapy: hormonal therapy with cyproterone acetate and ethinyl estradiol. 5. IV or subcutaneous infusion of anti-inflammatory (anti-TNF-alpha) drugs such as infliximab, etanercept and adalimumab. Consult a dermatologist. He would advice the best possible treatment for your husband