There’s More to Hidradenitis Suppurativa Than Meets the Eye

Hidradenitis Suppurativa (HS) is often misunderstood as a mere skin condition. However, for those living with it, HS is far more than the visible lumps, nodules, and scars—it’s a chronic, systemic condition with deep-seated physical, emotional, and social impacts (Miller & Thompson, 2020). This article explores the multifaceted nature of HS and how a holistic Ayurvedic approach can offer effective management and hope.

There's More to Hidradenitis Suppurativa Than Meets the Eye

There’s More to Hidradenitis Suppurativa Than Meets the Eye


Understanding Hidradenitis Suppurativa Beyond the Surface

At first glance, HS appears as recurring painful abscesses in areas like the armpits, groin, buttocks, or under the breasts. However, its systemic nature links it to broader health complications, including inflammation, immune dysfunction, and even comorbid conditions like arthritis, metabolic syndrome, and depression (American Academy of Dermatology, 2021).

Key Symptoms of HS:

  • Painful abscesses and nodules
  • Sinus tracts connecting lesions
  • Chronic drainage and scarring
  • Recurrent flare-ups triggered by stress, hormonal changes, and lifestyle factors

The physical symptoms are just one aspect of the condition. Its impact extends to mental and emotional health, contributing to social withdrawal, low self-esteem, and anxiety (Miller & Thompson, 2020).


Comorbidities Associated with HS

HS doesn’t just stop at the skin—it often coexists with other conditions, complicating diagnosis and treatment. Here’s a closer look:

ComorbidityImpactAyurvedic Perspective
ArthritisChronic inflammation from HS can contribute to joint pain and stiffness, particularly in axial arthritis.Imbalance in Vata dosha, causing degeneration and inflammation in joints (Chauhan, 2021).
Metabolic SyndromeHS patients are at higher risk of obesity, diabetes, and cardiovascular disease.Disturbed Kapha dosha and accumulation of Ama (toxins) disrupt metabolism (Gupta & Singh, 2017).
Depression and AnxietyThe psychological burden of HS often leads to mental health challenges.Imbalanced Sadhaka Pitta, affecting emotional well-being (Sharma, 2018).
Inflammatory Bowel Disease (IBD)HS shares common inflammatory pathways with conditions like Crohn’s disease.Aggravation of Pitta dosha and systemic inflammation involving Rakta dhatu (blood tissues) (Chauhan, 2021).
Polycystic Ovarian Syndrome (PCOS)Hormonal imbalances seen in HS can overlap with those in PCOS.Disrupted Kapha and Pitta doshas, leading to hormonal irregularities (Gupta & Singh, 2017).

These conditions highlight the need for a comprehensive treatment plan that addresses both HS and its associated systemic effects (American Academy of Dermatology, 2021).


Challenges Faced by Patients with HS

Living with HS is often a silent battle, with challenges that go beyond physical pain. Patients frequently experience:

  1. Physical Pain and Discomfort: Chronic abscesses, scarring, and sinus tracts can make daily activities unbearable.
  2. Social Isolation: Visible lesions and drainage lead to embarrassment, causing patients to withdraw from social interactions.
  3. Emotional Toll: The relentless nature of HS exacerbates feelings of helplessness, leading to anxiety and depression.
  4. Medical Frustration: Misdiagnosis or delayed diagnosis is common, leaving patients to navigate a long road of trial-and-error treatments.
  5. Financial Burden: Managing a chronic condition often involves significant medical expenses, adding stress to an already difficult situation (Miller & Thompson, 2020).

Ayurveda’s Holistic Perspective on Hidradenitis Suppurativa

Ayurveda views HS as a manifestation of systemic imbalances, primarily involving the Kapha and Pitta doshas. The stagnation of Kapha and overheating of Pitta result in localized inflammation and toxin buildup (Ama), causing recurrent abscesses and nodules (Chauhan, 2021).

Key Ayurvedic Insights:

  • Dosha Imbalance: Kapha contributes to clogged channels and sluggish metabolism, while Pitta triggers inflammation and heat.
  • Toxin Accumulation: Poor digestion and lifestyle factors lead to Ama, worsening the condition.
  • Systemic Involvement: HS is a reflection of deeper systemic issues, requiring more than just topical or symptomatic treatment (Gupta & Singh, 2017).

Personalized Ayurvedic Treatment Approach

At EliteAyurveda, we take pride in offering a tailored approach to managing HS. Our treatments aim to restore systemic balance, detoxify the body, and strengthen immunity.

Comprehensive Treatment Plan

AspectDetails
DetoxificationGentle detox therapies like Virechana and Basti to eliminate toxins and balance doshas (Chauhan, 2021).
Herbal MedicationsPersonalized formulations to reduce inflammation, support immunity, and address underlying imbalances (Gupta & Singh, 2017).
Dietary GuidanceAnti-inflammatory and dosha-specific diet plans to strengthen digestion and reduce toxin buildup (Sharma, 2018).
Lifestyle AdjustmentsIncorporating yoga, meditation, and stress management to minimize flare-ups and improve mental health (Sharma, 2018).
External ApplicationsHerbal poultices and medicated oils to soothe lesions and promote skin healing (Chauhan, 2021).

Real Patient Success Stories

Case Study: Reclaiming Life from HS
Patient: Priya, 32, Bengaluru

Challenges: Priya had been living with severe HS for over five years, facing constant pain, depression, and social isolation. Conventional treatments provided temporary relief but came with significant side effects.

Ayurvedic Intervention: After consulting with Dr. Adil Moulanchikkal, she began a personalized Ayurvedic regimen focusing on detoxification, dietary changes, and tailored herbal medications (EliteAyurveda, 2023).

Outcome: Within six months, Priya reported fewer flare-ups, significant pain reduction, and improved emotional well-being. Her quality of life transformed, giving her the confidence to reconnect with her social circle (EliteAyurveda, 2023).


From the Doctor’s Desk

Dr. Adil Moulanchikkal, Lead Specialist at EliteAyurveda, emphasizes:

“Hidradenitis Suppurativa is not just a skin condition; it’s a systemic disorder requiring a holistic approach. Ayurveda focuses on addressing the root causes, offering sustainable relief and long-term remission. With personalized care, patients can experience profound healing and regain control of their lives.” (Moulanchikkal, 2023)


Why Choose EliteAyurveda for HS Treatment?

  1. Root-Cause Focus: Our approach targets the systemic imbalances causing HS, not just the symptoms.
  2. Personalized Care: Treatments are tailored to each patient’s constitution (Prakriti) and specific needs.
  3. Proprietary Herbal Medications: Safe, effective, and crafted in-house for maximum efficacy.
  4. Comprehensive Support: Our team provides ongoing guidance and care throughout the healing journey.
  5. Proven Expertise: With over 15 years of experience, EliteAyurveda has successfully treated countless HS patients (EliteAyurveda, 2023).

Take the First Step Toward Healing

Hidradenitis Suppurativa doesn’t have to control your life. With Ayurveda’s time-tested principles and modern insights, lasting relief and transformation are possible.

📞 Contact us today: +91 8884722246
🌐 Visit: EliteAyurveda

Rediscover your health and confidence with holistic care from EliteAyurveda.


References

References

Yu, C.C. ∙ Cook, M.G.

Hidradenitis suppurativa: a disease of follicular epithelium, rather than apocrine glands

Br J Dermatol. 1990; 122:763-769

Crossref

Scopus (236)

PubMed

Google Scholar

2.

Jfri, A. ∙ Nassim, D. ∙ O’Brien, E. …

Prevalence of hidradenitis suppurativa: a systematic review and meta-regression analysis

JAMA Dermatol. 2021; 157:924-931

Crossref

Scopus (24)

PubMed

Google Scholar

3.

Liang, Y.T. ∙ Yeh, C.J. ∙ Huang, J.Y. …

Epidemiology of hidradenitis suppurativa in Taiwan: a 14-year nationwide population-based study

J Dermatol. 2021; 48:613-619

Crossref

Scopus (2)

PubMed

Google Scholar

4.

Lee, J.H. ∙ Kwon, H.S. ∙ Jung, H.M. …

Prevalence and comorbidities associated with hidradenitis suppurativa in Korea: a nationwide population-based study

J Eur Acad Dermatol Venereol. 2018; 32:1784-1790

Crossref

Scopus (0)

PubMed

Google Scholar

5.

Hagan, P.G. ∙ Kjærsgaard Andersen, R. ∙ Seldam, I.T. …

Hidradenitis suppurativa prevalence in Berekum, Ghana: a cross-sectional study and initial validation of a questionnaire in an African setting

JAAD Int. 2020; 1:1-2

Full Text

Full Text (PDF)

PubMed

Google Scholar

6.

Calao, M. ∙ Wilson, J.L. ∙ Spelman, L. …

Hidradenitis suppurativa (HS) prevalence, demographics and management pathways in Australia: a population-based cross-sectional study

PLoS One. 2018; 13, e0200683

Crossref

Scopus (42)

PubMed

Google Scholar

7.

Jemec, G.B. ∙ Heidenheim, M. ∙ Nielsen, N.H.

The prevalence of hidradenitis suppurativa and its potential precursor lesions

J Am Acad Dermatol. 1996; 35:191-194

Abstract

Full Text (PDF)

PubMed

Google Scholar

8.

HR, Y. ∙ S-C, L. ∙ J-B, L.

Clinical characteristics and epidemiology of hidradenitis suppurativa in Korea: a single-center study

Korean J Dermatol. 2016; 54:723-727

Google Scholar

9.

Hayama, K. ∙ Fujita, H. ∙ Hashimoto, T. …, Japanese HSRG

Questionnaire-based epidemiological study of hidradenitis suppurativa in Japan revealing characteristics different from those in Western countries

J Dermatol. 2020; 47:743-748

Crossref

Scopus (14)

PubMed

Google Scholar

10.

Gotesman, R.D. ∙ Choi, C. ∙ Alavi, A.

Hidradenitis suppurativa in East and Southeast Asian populations: a systematic review and meta-analysis

Int J Dermatol. 2021; 60:e433-e439

Crossref

Scopus (3)

PubMed

Google Scholar

11.

Chu, C.B. ∙ Yang, C.C. ∙ Tsai, S.J.

Global data analysis supports smoking as the fundamental element associated with geographical sex disparities in hidradenitis suppurativa

Br J Dermatol. 2021; 185:1054-1056

Crossref

Scopus (3)

PubMed

Google Scholar

12.

Chandran, N.S. ∙ Lee, J.H. ∙ Kurokawa, I.

Hidradenitis suppurativa in South-East Asia and East Asia

Exp Dermatol. 2021; 30:23-26

Crossref

Scopus (5)

PubMed

Google Scholar

13.

Wang, Z. ∙ Yan, Y. ∙ Wang, B.

γ-Secretase genetics of hidradenitis suppurativa: a systematic literature review

Dermatology. 2021; 237:698-704

Crossref

Scopus (8)

PubMed

Google Scholar

14.

Garcovich, S. ∙ Genovese, G. ∙ Moltrasio, C. …

PASH, PAPASH, PsAPASH, and PASS: the autoinflammatory syndromes of hidradenitis suppurativa

Clin Dermatol. 2021; 39:240-247

Full Text

Full Text (PDF)

Scopus (0)

PubMed

Google Scholar

15.

Nguyen, T.V. ∙ Damiani, G. ∙ Orenstein, L.A.V. …

Hidradenitis suppurativa: an update on epidemiology, phenotypes, diagnosis, pathogenesis, comorbidities and quality of life

J Eur Acad Dermatol Venereol. 2021; 35:50-61

Crossref

Scopus (56)

PubMed

Google Scholar

16.

Nikolakis, G. ∙ Kaleta, K.P. ∙ Vaiopoulos, A.G. …

Phenotypes and pathophysiology of syndromic hidradenitis suppurativa: different faces of the same disease? A systematic review

Dermatology. 2021; 237:673-697

Crossref

Scopus (9)

PubMed

Google Scholar

17.

Leuenberger, M. ∙ Berner, J. ∙ Di Lucca, J. …

PASS syndrome: an IL-1-driven autoinflammatory disease

Dermatology. 2016; 232:254-258

Crossref

Scopus (33)

PubMed

Google Scholar

18.

Schwob, E. ∙ Bessis, D. ∙ Boursier, G. …

PASS: a rare syndrome within the autoinflammatory diseases that still lacks a genetic marker

J Eur Acad Dermatol Venereol. 2020; 34:e478-e480

Crossref

Scopus (2)

PubMed

Google Scholar

19.

Gadelha, R.L. ∙ Paiva, R. ∙ Palitot, E.B. …

PsAPASH: a rare and recent autoinflammatory syndrome associated with hidradenitis suppurativa

An Bras Dermatol. 2020; 95:203-206

Crossref

Scopus (7)

PubMed

Google Scholar

20.

Canoui-Poitrine, F. ∙ Le Thuaut, A. ∙ Revuz, J.E. …

Identification of three hidradenitis suppurativa phenotypes: latent class analysis of a cross-sectional study

J Invest Dermatol. 2013; 133:1506-1511

Full Text

Full Text (PDF)

Scopus (136)

PubMed

Google Scholar

21.

Cazzaniga, S. ∙ Pezzolo, E. ∙ Bettoli, V. …

Characterization of hidradenitis suppurativa phenotypes: a multidimensional latent class analysis of the national italian registry IRHIS

J Invest Dermatol. 2021; 141:1236-1242.e1

Full Text

Full Text (PDF)

Scopus (0)

PubMed

Google Scholar

22.

Daxhelet, M. ∙ Suppa, M. ∙ White, J. …

Proposed definitions of typical lesions in hidradenitis suppurativa

Dermatology. 2020; 236:431-438

Crossref

Scopus (9)

PubMed

Google Scholar

23.

Martorell-Calatayud, A. ∙ Sanz-Motilva, V. ∙ Alfaro-Rubio, A. …

Phenotypic heterogeneity in hidradenitis suppurativa

J Am Acad Dermatol. 2015; 72 AB150-AB

PubMed

Google Scholar

24.

van der Zee, H.H. ∙ Jemec, G.B.

New insights into the diagnosis of hidradenitis suppurativa: clinical presentations and phenotypes

J Am Acad Dermatol. 2015; 73:S23-S26

Full Text

Full Text (PDF)

Scopus (101)

PubMed

Google Scholar

25.

González-Manso, A. ∙ Agut-Busquet, E. ∙ Romaní, J. …

Hidradenitis suppurativa: proposal of classification in two endotypes with two-step cluster analysis

Dermatology. 2021; 237:365-371

Crossref

Scopus (7)

PubMed

Google Scholar

26.

Frew, J.W. ∙ Hawkes, J.E. ∙ Sullivan-Whalen, M. …

Inter-rater reliability of phenotypes and exploratory genotype-phenotype analysis in inherited hidradenitis suppurativa

Br J Dermatol. 2019; 181:566-571

Crossref

Scopus (20)

PubMed

Google Scholar

27.

Duchatelet, S. ∙ Miskinyte, S. ∙ Delage, M. …

Low prevalence of GSC gene mutations in a large cohort of predominantly Caucasian patients with hidradenitis suppurativa

J Invest Dermatol. 2020; 140:2085-2088.e14

Full Text

Full Text (PDF)

Scopus (26)

PubMed

Google Scholar

28.

van Straalen, K.R. ∙ van der Zee, H.H.

Lack of photographic documentation undermines assessment of hidradenitis suppurativa phenotypes

Br J Dermatol. 2019; 181:224

Crossref

Scopus (4)

PubMed

Google Scholar

29.

von der Werth, J.M. ∙ Williams, H.C.

The natural history of hidradenitis suppurativa

J Eur Acad Dermatol Venereol. 2000; 14:389-392

Crossref

Scopus (210)

PubMed

Google Scholar

30.

Kirby, J.S. ∙ Moore, B. ∙ Leiphart, P. …

A narrative review of the definition of ‘flare’ in hidradenitis suppurativa

Br J Dermatol. 2020; 182:24-28

Crossref

PubMed

Google Scholar

31.

Thompson, A.M. ∙ Fernandez, J.M. ∙ Rick, J. …

Identifying triggers for hidradenitis suppurativa flare: a patient survey

Br J Dermatol. 2021; 185:225-226

Crossref

Scopus (1)

PubMed

Google Scholar

32.

Ring, H.C. ∙ Theut Riis, P. ∙ Zarchi, K. …

Prodromal symptoms in hidradenitis suppurativa

Clin Exp Dermatol. 2017; 42:261-265

Crossref

Scopus (19)

PubMed

Google Scholar


Related-

Know More About Ayurveda Treatment For Hidradenitis Suppurativa.