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Abstract
The epidemiology, pathology, and management of axillary hidradenitis suppurativa were
examined in 11 patients with this disease. On the basis of this study, the following
predisposing factors were incriminated in the epidemiology of the disease: predilection
of the disease for women, obesity, hair removal by a safety razor, antiperspirants
and deodorants, and local pyogenic infections distant from the axilla. Because antiperspirants
do not effect transepidermal water loss of axillary skin, their potential deleterious
effects are probably related to their chemical irritant effects on cut, nicked, or
irritated axillary skin.
Treatment of this disease will vary according to its severity. Incision and drainage
are usually needed to treat the localized disease. Specific measures must also be
instituted to prevent progression of the disease (eg, weight reduction, avoidance
of safety razor and antiperspirants and deodorants, and control of localized pyogenic
infections distant from the axilla). Management of the chronic phase of the disease
is primarily excision of infected axillary skin.
Keywords
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Article info
Publication history
Accepted:
June 4,
1986
Received:
January 23,
1986
Identification
Copyright
© 1986 Published by Elsevier Inc.