Name of the Condition

• Hidradenitis Suppurativa (HS)
• Also known as Acne Inversa

Summary

Hidradenitis suppurativa is a chronic skin condition characterized by painful, inflamed nodules and abscesses that can result in scarring. These lumps typically occur in areas where skin rubs together, such as the armpits, groin, and under the breasts.

Causes

The exact cause of hidradenitis suppurativa is not well-understood, but it is believed to involve inflammation of the hair follicles. Factors such as genetic predisposition, immune system irregularities, and hormonal influences are suspected to play a role.

Risk Factors

• Family history of the condition
• Being female
• Obesity
• Smoking
• Hormonal changes, such as those during puberty

Symptoms

• Painful lumps under the skin
• Blackheads
• Red, tender bumps that may enlarge and form abscesses
• Leaking or discharge from lesions
• Scarring and tunneling under the skin

Diagnosis

Hidradenitis suppurativa is usually diagnosed based on clinical evaluation and medical history. There are no specific tests for the condition, but doctors may perform a physical examination and inquire about symptoms.

Treatment Options

• Medications: Antibiotics to control infection, anti-inflammatory drugs, and hormonal therapy can help manage symptoms.
• Surgery: In severe cases, surgical removal of the affected areas may be necessary.
• Lifestyle changes: Weight management and smoking cessation can improve symptoms. These treatments aim to reduce pain and prevent the formation of new lesions.

Prognosis and Follow-Up

The condition is chronic and may have periods of remission and flare-ups. Regular follow-ups with a healthcare provider are essential to monitor and adjust treatment plans for effective management.

Complications

• Severe scarring or changes in skin texture
• Limited mobility due to pain or scarring
• Skin infections
• Depression or psychological distress

Lifestyle & Prevention

• Maintaining a healthy weight
• Quitting smoking
• Wearing loose-fitting clothing to reduce irritation These measures can help manage symptoms and possibly reduce the severity of flare-ups.

When to Seek Professional Help

Immediate medical attention is advisable if you experience severe pain, significant swelling, fever, or if the lesions produce a foul-smelling discharge.

Additional Resources

• Hidradenitis Suppurativa Foundation: hs-foundation.org
• Mayo Clinic's Hidradenitis Suppurativa Information: mayoclinic.org

Tips for Medical Coders

• Ensure precise documentation of the location and severity of lesions for accurate coding.
• Be mindful of differentiating HS from similar skin conditions like boils or cystic acne.
• Use ICD-10 code L73.2 for Hidradenitis Suppurativa.