Red flags & when to go in person for Hidradenitis Suppurativa (Mild)

Audience: adult

Hidradenitis Suppurativa (HS) is a long-term skin condition that causes painful lumps, usually in areas where skin rubs together, like underarms or groin. Mild HS often involves small, tender bumps or nodules that may come and go. Telemedicine can help you manage mild symptoms by discussing your condition, reviewing treatments, and advising on skin care. However, some signs mean you should see a healthcare provider in person. These include worsening pain, spreading redness, fever, or large abscesses. Recognizing these red flags helps prevent complications. This guide explains when telemedicine is suitable for mild HS and when in-person care is needed. It also offers tips on preparing for your tele-visit and what to expect afterward. Remember, this information is for education and not a substitute for professional medical evaluation or treatment.

Red flags — go in person / ER

• Increasing pain, swelling, or redness around affected areas — seek in-person care promptly.
• Fever or feeling very unwell alongside skin symptoms — urgent evaluation needed.
• Large abscesses or lumps that do not improve or worsen over time — require physical examination and possible drainage.

What telemedicine can do

• Discussing mild symptoms and changes in condition.
• Reviewing and adjusting treatment plans for mild HS.
• Providing advice on skin care and lifestyle modifications.
• Monitoring symptom progression via video or photos.

What telemedicine cannot do

• Evaluating severe or worsening infections requiring physical examination.
• Performing procedures such as abscess drainage or biopsies.
• Managing severe pain or systemic symptoms like high fever.
• Diagnosing complications or other skin conditions needing in-person tests.

What is Mild Hidradenitis Suppurativa?

Mild Hidradenitis Suppurativa (HS) usually causes small, painful lumps under the skin. These lumps may break open or form small tunnels but are limited in number and size. The condition often affects areas like the armpits, groin, or under the breasts. Symptoms can come and go, sometimes improving with self-care and medication.

When Telemedicine Can Help

Telemedicine visits can help you discuss your symptoms, review your treatment plan, and get advice on skin care and lifestyle changes. Your healthcare provider can assess your condition through video or photos and suggest medications or therapies to manage mild symptoms. Telemedicine is convenient for routine follow-ups and questions about HS.

Red Flags That Need In-Person Care

Certain signs mean you should see a healthcare provider in person promptly:

These symptoms may require physical examination, drainage, or stronger treatments.

Preparing for Your Telemedicine Visit

To get the most from your tele-visit:

After Your Telemedicine Visit

After the visit, follow your provider's advice carefully. This may include:

How to prepare for your tele-visit

• Choose a private, well-lit area for your tele-visit.
• Ensure your device camera works and can focus on affected skin.
• Have a list of your current symptoms and any recent changes.
• Prepare a list of medications, allergies, and previous treatments.
• Write down questions or concerns to discuss with your provider.

After your tele-visit

• Follow prescribed treatments and skin care instructions carefully.
• Monitor your symptoms and note any changes or worsening.
• Schedule follow-up appointments as recommended by your provider.
• Seek immediate in-person care if red flag symptoms develop.
• Maintain good hygiene and avoid skin irritation in affected areas.

FAQs

Can telemedicine diagnose Hidradenitis Suppurativa?

Telemedicine can help your healthcare provider assess symptoms and suggest if HS is likely, especially in mild cases. However, a physical exam is often needed for a definitive diagnosis.

What treatments can be managed through telemedicine?

Mild HS treatments like topical medications, oral antibiotics, and lifestyle advice can often be managed via telemedicine. Your provider can monitor your response and adjust treatment as needed.

When should I go to the emergency room for HS?

If you have severe pain, high fever, spreading redness, or large abscesses that limit movement, seek emergency care immediately. These signs may indicate serious infection.

How can I reduce flare-ups of HS?

Maintaining good hygiene, wearing loose clothing, avoiding skin irritation, managing weight, and quitting smoking can help reduce flare-ups. Your provider can give personalized advice.

Is HS contagious?

No, Hidradenitis Suppurativa is not contagious. It is a chronic inflammatory condition related to hair follicles and immune response.

Sources

1. Hidradenitis Suppurativa — MedlinePlus, U.S. National Library of Medicine.
2. Hidradenitis Suppurativa Information — Mayo Clinic.
3. Hidradenitis Suppurativa: Overview — Centers for Disease Control and Prevention (CDC).
4. Hidradenitis Suppurativa: Treatment and Management — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical evaluation, diagnosis, or treatment. If you experience any red flag symptoms or worsening condition, seek prompt medical care.