How does acne inversa develop? The causes are not exactly known, but the primary event is keratinization disorder or also called hyperkeratosis, which results in follicular occlusion. Sebum accumulation and destruction of the sebaceous glands and inflammation of the hair follicles occur. Immigration of bacteria is one of the secondary events. With progressive inflammation and sebaceous accumulation, rupture of the follicles often occurs, which can lead to fistula formation.
These events can be caused by a hereditary predisposition, there are also other reinforcing factors that can affect the clinical picture. Which factors have an influence on acne inversa? The cause of acne inversa has not been conclusively clarified. There is also evidence of a hormonal role, which can often lead to episodes of disease during menstruation.
Smoking and obesity also have a negative influence on the disease. How does the disease progress? Depending on the severity level, divided into Hurley grade I to III, affected individuals suffer from recurrent festering, oozing sores. Patients classified as Hurley severity level I usually have isolated inflammatory nodules or abscesses in surrounding healthy tissue.
In severity level II, progressive demarcated inflammation with scarring and fistula formation are described. In severity level III, there are extensive, interconnected abscesses and fistula tracts. What are the treatment options? For wound treatment after surgery for Hurley grade II-III, it is recommended not to sew up the wound, but to let it heal "open". Appropriate dressings and, if necessary, negative pressure wound therapy NPWT are used to cover the "open" wound.
To minimize the risk of restricted movement due to scar adhesions, stretching exercises should be performed, if necessary under physiotherapeutic guidance. To avoid inflammation, prevent recurrence recurrence of lesions in the surgical area , slow down the course of the disease and treat scars, LAight therapy, as a gentle, non-invasive combination therapy of light and radio frequencies, can be used in a supportive manner in all degrees of Ai. Can the course of the disease be slowed and symptoms reduced?
