Hidradenite supurativa: doença crônica afeta 1% da população mundial

A hidradenite supurativa é caracterizada pela formação de caroços ou nódulos, com aparência semelhante à acne, na região das virilhas, axilas, nádegas ou sob os seios. Geralmente, essas lesões são dolorosas, e até lembram furúnculos na fase inicial. Essa doença está presente em cerca de 1% da população, surgindo logo após a puberdade.

Os pacientes com hidradenite podem sofrer com as dores e odor dos abcessos, que tendem a estourar, liberando secreções semelhantes ao pus.

Causas

Essa doença crônica não é causada pela obstrução dos folículos capilares, mas não se sabe ainda o motivo desse bloqueio, que leva à inflamação. As mulheres são mais suscetíveis a doença do que os homens, e alguns fatores de risco podem contribuir para o desenvolvimento da doença, como as alterações hormonais da puberdade, obesidade, tabagismo e histórico de hidradenite supurativa na família.

Tratamento

A doença não tem cura, mas tem tratamento para regredir os efeitos. Esse tratamento é baseado no grau em que a doença se manifesta, ou seja, a forma como as lesões progridem para abcessos no organismo.

O tratamento é iniciado com soluções tópicas, medicações orais (antibióticos), e nos casos mais recorrentes, para os pacientes que não apresentam melhorias com o tratamento inicial, a cirurgia é indicada para a drenagem dos nódulos ou até procedimentos maiores para a retirada dos nódulos, mas ainda assim é comum que eles voltem a aparecer.

Cuidados

Alguns estudos realizados mostram que parar de fumar reduz os sintomas da doença, assim como a perda de peso. Outra evidência presente em estudos é a relação da hidradenite supurativa com o câncer. Estima-se que os pacientes com a doença têm até 50% mais chance de desenvolver câncer do que a população em geral.

É importante então que o paciente passe a ter alguns cuidados para ajudar no progresso do tratamento, como por exemplo, usando roupas confortáveis, mantendo a área das lesões higienizada, aplicar compressas de água morna para reduzir o inchaço dos nódulos, e reduzindo o peso, para diminuir o atrito e transpiração nas regiões afetadas pela doença.

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