Acne Inversa: Symptoms, Causes, Treatment, and Management


Acne inversa, also known as hidradenitis suppurativa, is a chronic inflammatory skin condition characterized by painful, recurrent nodules and abscesses in the skin folds. It primarily affects areas rich in apocrine glands, such as the armpits, groin, and buttocks. In this article, we will explore the symptoms, causes, treatment options, and management strategies for acne inversa.


The symptoms of acne inversa include painful, deep-seated nodules, abscesses, and tunnels (sinus tracts) that connect affected areas. These lesions can be recurrent and may cause significant discomfort, pain, and impaired quality of life. In advanced stages, scarring and thickened skin may develop.


The exact cause of acne inversa is still unclear. However, it is believed to involve a combination of genetic, hormonal, and immune system factors. Hair follicle blockage and subsequent inflammation play a significant role in the development of acne inversa. Risk factors include a family history of the condition, hormonal imbalances, obesity, smoking, and certain genetic disorders.


The treatment of acne inversa aims to alleviate symptoms, prevent disease progression, and improve quality of life. The approach may involve a combination of the following:

  • Topical Treatments: Topical medications, such as antibiotics and anti-inflammatory agents, may be used to reduce inflammation and control infection.
  • Systemic Medications: Oral medications, such as antibiotics, retinoids, and hormonal therapies, may be prescribed to target inflammation and hormonal imbalances.
  • Intralesional Injections: Injections of corticosteroids into individual lesions can help reduce inflammation and promote healing.
  • Surgical Interventions: In more severe cases, surgical options may be considered. This can include draining abscesses, removing affected tissue, or performing skin grafts.
  • Lifestyle Modifications: Certain lifestyle changes can help manage acne inversa, such as maintaining good hygiene, avoiding tight-fitting clothing, weight management, smoking cessation, and stress reduction.


Managing acne inversa requires a multidisciplinary approach involving dermatologists, surgeons, and other healthcare professionals. Regular follow-up visits are important to monitor disease progression, adjust treatment plans, and provide necessary support. In addition, patient education, support groups, and counseling can help individuals cope with the physical and emotional impact of the condition.


Acne inversa is a chronic inflammatory skin condition characterized by painful nodules, abscesses, and sinus tracts. Although there is no cure, various treatment options are available to manage symptoms, prevent disease progression, and improve quality of life. It is important to consult with healthcare professionals for an accurate diagnosis, personalized treatment plan, and ongoing support.

Disclaimer: This article is for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider for accurate diagnosis and treatment options specific to your condition.