Understanding Hidradenitis Suppurativa and Finding Specialist Care
Hidradenitis suppurativa (HS) is a painful chronic skin condition characterized by boils and abscesses that form under the skin. It primarily occurs in areas with many oil and sweat glands like the armpits, groin, and under the breasts.
HS Disproportionately Affects Black Individuals
Studies show that HS impacts people of African descent more frequently and often manifests differently than other racial groups. The disease tends to start at a younger age, be more widespread, and resist treatment in those with black skin compared to white skin.
Researchers theorize that anatomical differences, inflammation levels, and possible genetic factors contribute to these disparities. The constant friction caused by coarse, curly hair may also promote flare ups.
Symptoms of HS in Black Skin
HS symptoms in black individuals include:
- Painful, pus-filled lumps in the armpits, groin, and under breasts
- "Tunnels" of infection under the skin
- Scarring and dark marks in affected areas
- Foul odor coming from lesions
- Difficulty moving affected areas
Without proper treatment, HS can worsen over time and greatly impact a person's quality of life.
Finding a Black Dermatologist in Cleveland, Ohio
Given the nuances in diagnosing and treating HS in black skin, it is advisable to seek out a dermatologist familiar with these concerns. Cleveland and its surrounding suburbs have several black dermatology specialists to choose from.
Key Credentials to Look For
When researching derms, look for these markers of expertise regarding HS and black skin:
- Board certified in Dermatology
- Completed a residency focused on caring for black skin
- Published research on HS treatment and racial skin differences
- Member of the American Academy of Dermatology
Top Black Dermatologists in Cleveland
Notable black dermatologists seeing patients in the Cleveland area include:
Dr. Valencia Thomas
As founder of Skin of Color Dermatology Associates, Dr. Thomas focuses exclusively on treating conditions related to ethnic skin. She has studied techniques for managing HS, acne, and hyperpigmentation in deeper skin tones.
Dr. Amy McMichael
In addition to her Cleveland clinic, Dr. McMichael is a Professor of Dermatology at Northeast Ohio Medical University. She conducts clinical trials on HS, led an investigative study on HS prevalence in black versus white patients, and teaches proper diagnosis and treatment protocols.
Dr. Kristina Callis Duffin
Dr. Duffin is an Assistant Professor of Dermatology at University Hospital's Cleveland Medical Center with subspecialty training in diseases common in skin of color. Her active research projects explore health disparities and genetic mechanisms behind conditions like HS.
Finding a knowledgeable, compassionate dermatologist attuned to the extra challenges HS poses for black individuals makes a significant difference. Be sure to discuss all your symptoms and needs in depth to develop an appropriate treatment plan.
Lifestyle Changes and Home Remedies for HS
While you'll need prescription medication to control HS, certain at-home remedies can also aid healing during flare ups:
Cool Compresses
Applying cool, damp cloths to painful bumps alleviates swelling and soothing discomfort. Do this several times per day during active breakouts.
Avoid Friction
Wear loose, breathable clothing and avoid tight belts or waistbands rubbing on affected areas. Let your skin breathe as much as possible.
Gentle Cleansing
Carefully wash lesions daily using a mild antibacterial soap. Avoid scrubbing too vigorously which can further irritate skin.
Warm Baths
Take 15-20 minute baths using Epsom salts or soothing essential oils like lavender. The warmth helps draw out infection while relaxing inflamed tissue.
Over-the-Counter Pain Relievers
For widespread discomfort, an oral pain medicine like acetaminophen or ibuprofen can temporarily provide relief during a bad flare.
Medical Treatments for HS in Black Patients
In conjunction with lifestyle adjustments, your dermatologist may recommend:
Antibiotics
Oral or topical antibiotics combat bacteria and infection inside HS lesions. Tetracycline or combination sulfonamide antibiotics often work well.
Anti-Inflammatory Drugs
Corticosteroids, adalimumab, infliximab or similar inflammation-lowering medicines may be injected into swollen sites if antibiotics prove ineffective.
Hormonal Agents
Birth control pills, metformin, finasteride, and spironolactone can regulate hormonal fluctuations contributing to flare ups in some patients.
Surgery
If HS remains severe after 1-2 years of aggressive drug treatment, removing all affected tissue surgically may be an option. This prevents infection tunnels from expanding or new ones forming.
Black individuals with HS require an experienced dermatology team to navigate their higher risk and harder-to-treat cases. Being open about your symptoms and asking the right questions ensures appropriate, tailored medical care.
FAQs
Why does HS affect black people more seriously?
Research shows HS develops earlier, is more widespread, and resists treatment more in black skin compared to white skin. Underlying genetic and inflammatory factors may contribute.
What is the best treatment for HS in African Americans?
There is no universal "best" treatment since HS varies person-to-person. However, black patients often need strong antibiotics, anti-inflammatories, and sometimes surgery to control recurring infection.
Should I see a dermatologist that specializes in black skin?
Yes, the subtle presentations and advanced nature of HS in darker skin types requires a derm familiar with these nuances. Prior experience managing difficult HS cases in black patients is ideal.
Can home remedies help my HS flare ups?
Home remedies like cool compresses, Epsom salt baths, gentle cleaning, loose clothing and OTC pain relievers can supplement HS prescription treatments during painful flares.
What causes HS to be worse in black skin?
Coarse, curly hair underarms potentially causes more friction and clogged pores. Higher inflammation levels in African American skin may also drive excessive immune responses resulting in more severe HS.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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