Inflammation of the sweat glands under the arm
Inflammatory lesions of the sweat glands occur most often in places of their greatest concentration. One of them is the axilla. Purulent inflammation of the sweat glands in this area they call hydradenitis.
The disease develops in people aged from 16 to 55 years, i.e. during the most active period of the functioning of the apocrine sweat glands. In women, the pathology is diagnosed more often.
The disease provokes Staphylococcus aureus, but in some cases, reveal the Streptococcus or E. coli.
Etiological factors and mechanism of development of hidradenitis armpit
The main reason for the occurrence of purulent inflammation are pathogenic microorganisms that have penetrated to the sweat gland via its duct, the wounded surface of the skin or from the lymph brought from other foci of infection in the body.
Known by a number of factors, provoking the development of the disease:
- increased sweating (hyperhidrosis);
- the weakening of the immune system;
- hormonal changes;
- diabetes mellitus;
- diseases of the skin;
- microtrauma to the skin from cosmetic procedures to remove hair under the arms from wearing tight clothing and underwear;
- diaper rash;
- failure to comply with rules of personal hygiene.
The hereditary factor has not been proven, but not refuted, therefore, possible.
Hyperhidrosis changes the acid-alkaline balance of the skin, reducing its protective function, and this also contributes to the development of the inflammatory process.
Staphylococcus aureus multiplies and aktiviziruyutsya after duct apocrine glands clog with dead epidermal cells and sweat. No outflow, sweat accumulates in the gland and exerts pressure on its walls.
Starts purulent inflammation under the arms. Under the pressure of the sweat ruptures the glands, and the affected content gets into adjacent tissue. An inflammatory lesion is formed with a hollow shell, based on connective tissue.
In the cavity accumulates purulent contents. It seeks out, finds him through the fistulous passages, purulent cavity is opened spontaneously.
The number of diseases increases in the summer. But sweat glands can become inflamed and in the winter as a trigger this time, is hypothermia.
Axillary hidradenitis typically develops under one hand, but may be bilateral, one inflamed apocrine gland or several.
In the initial stages of the disease manifests slight pain, itching and burning. They do not always pay attention. But in the affected area felt tight and painful knot the size of a pea or slightly larger.
Purulent inflammation progresses. A few days later the seal is greatly increased, acquires a bright red color, which turns purple and is soldered to the skin.
Purulent contents looking for a way out and thus forms a bulge on the outside in the form of a nipple that resembles the breast of lactating dogs. Therefore, another popular name of the disease — the cure for bitch Tits. It has been known for many years.
The affected area becomes swollen and blue hue due to the stagnant phenomena in small vessels.
Exacerbated pain, especially when taking away or raising of the upper limb from the affected side. They are significant and at rest.
When the feeling of the seal is determined by the flow of pus in a cavity (fluctuation), typical of hidradenitis and distinguish it from other purulent inflammation.
The bacterial waste products poison the body of the patient. Therefore, rapidly deteriorating General condition, body temperature rises, there is a weakness, headache, disturbed sleep, reduced efficiency, can occur nausea.
After involvement in the pathological process of the surrounding tissue develops an inflammatory infiltrate, covering the entire axilla.
Spontaneous opening of the purulent cavity is the 4 — 5th day from the onset of the disease and leads to a decrease in temperature, improvement of General condition of the patient. Through the perforation flows a significant amount of pus with the blood without necrotic core. Within two weeks of purulent cavity is filled with granulation tissue, the wound shivsena drawn scar.
But without treatment, in a weakened body may chronic course of disease with relapses.
There are known cases of resorption of the small seals without opening the abscess. In case of inflammation of several located next to the sweat glands may form one common cavity.
There is also the risk of complications dangerous to health:
- Blood poisoning — sepsis.
- Lymphadenitis — inflammation of lymph nodes underarm.
- Phlegmon — purulent inflammation of the subcutaneous tissue.
Therefore, axillary hydradenitis should be treated promptly and effectively.
Conservative and surgical treatment of hidradenitis armpit
Before treatment the doctor recommends the patient to review the diet and eliminate foods that contribute to inflammation. They include spicy, smoked, sweet and fatty foods, and alcoholic beverages.
Useful for eating lean meats and fish, prepared by the method of jam or a couple. Unrefined sunflower and olive oil contains significant amounts of vitamin E and A, which promote healing and skin repair, strengthen body resistance.
Low-fat sour-milk products inhibit the proliferation of pathogenic bacteria, maintain the balance of microflora in the intestines.
Products that contain fiber, activates the gastrointestinal tract, the production of enzymes, normalizes microflora. It — lentils, oatmeal, beans, berries, nuts, wholegrain bread.
Also prescribe vitamin complex.
- tetracycline — broad spectrum (Tetracycline, IMEX, Doxycycline, Vibramycin);
- cephalosporins – performance drugs (Cephalexin, Cefalin, Cefazolin, Cephalexin);
- macrolides — a new generation of drugs (Eritran, Midecamycin, Azithromycin, Claritin);
- lincosamide — part of the drugs is part of a natural antibiotic lincomycin (Clindamycin, Dalacin,Lincomycin).
Tetracyclines and macrolides inhibit the growth of staphylococci and the development of the disease, cephalosporins destroy bacteria, lincosamide gradually smothering her.
In severe cases, also prescribe anti-inflammatory drugs containing hormones (Prednisol, Prednisolone, Prednisone).
Doctor’s advice can be applied to the affected area with pure Ichthyol ointment Vishnevsky.
For treatment of recurrent hidradenitis armpit apply immunotherapy (Antifagin staphylococcal, staphylococcal Toxoid).
- UVI — ultra-violet irradiation destroy bacteria.
- UHF — exposure to high frequency electromagnetic fields have anti-inflammatory action, inhibit the pain.
- Electrophoresis using constant electric pulses relieve pain and reduce swelling.
If conservative treatment is not effective, used operational.
The surgeon decides on the opening or removal of purulent inflammation.
At the opening cutting the skin over the lesion and provide outflow of pus, the wound is cleaned, washed, lay bactericidal the medication, leave the drainage, perform ligation. On cleansed the wound sutured.
Most often these operations are performed under local anesthesia.
Traditional medicines for the treatment of disease
To enhance medical treatment by the doctor to use the recipes of traditional medicine.
For armpits, apply the cabbage leaf. It is well suppresses the inflammatory process.
Antibacterial properties of aloe Vera juice. Cut a blank sheet of plants make juicy party on inflammation.
Also use a plantain leaf, but knead it until the juice.
Make a variety of cakes made of rye flour. Effective composition of flour, eggs and natural honey.
You can knead a cake of flour and sour cream.
Baked onion is cut and the cut applied to the ulcer. The tool facilitates opening of the purulent inflammation.
Lotion of the present series have bactericide action.
It must be remembered that the treatment of inflammatory lesions of the sweat glands in the armpit performed only as directed by your specialist. In this case, it is possible favorable prognosis for recovery.
It is also important to eat right, maintain good hygiene of the body, lead a healthy active lifestyle.