Hidradenitis Suppurativa: Symptoms, Causes & Treatment in Australia

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that causes painful lumps under the skin, most commonly in areas where skin rubs together. These areas often include:

In clinical practice, HS is often underdiagnosed or mistaken for recurrent boils or ingrown hairs, which can delay proper treatment.

The condition can vary significantly — from occasional flare-ups to more persistent or severe disease.

At Dermo Direct, dermatologists can assess suspected HS online and guide appropriate next steps, including whether specialist care is recommended.

The exact cause isn’t fully understood, but HS is thought to involve:

It is not caused by poor hygiene and is not contagious.

Factors associated with HS include:

That said, HS can occur in people without any obvious risk factors.

Hidradenitis Suppurativa

Boils / Acne

We often see patients who have been treated repeatedly for “boils” before HS is recognised.

Diagnosis is usually based on:

There are no specific blood tests for HS, but in some cases additional investigations may be recommended.

With Dermo Direct, you can upload photos and provide a history of your symptoms, allowing dermatologists to assess whether HS is likely and guide next steps.

Treatment depends on the severity and frequency of flare-ups. The aim is to reduce inflammation, manage symptoms, and prevent progression.

1. Lifestyle & Skin Care Measures

These may help reduce flare frequency:

2. Topical Treatments

In milder cases, topical treatments may be recommended to help control inflammation and bacterial overgrowth.

3. Oral Medications

For more persistent disease, oral medications may be prescribed. These may include:

These require medical supervision and are prescribed based on individual circumstances.

4. Advanced / Specialist Treatments

For moderate to severe HS, dermatologist-led treatments may be considered. These can include:

If appropriate, Dermo Direct dermatologists can help identify when referral to a dermatologist is recommended and guide you through next steps.

HS is generally considered a chronic condition, meaning it can persist over time. However, with appropriate management, many people are able to:

Early recognition and treatment can make a meaningful difference.

It’s worth seeking professional care if:

HS can have a significant impact on quality of life, particularly when flare-ups are frequent or painful.

If you’re dealing with ongoing symptoms, you’re not alone — and support and treatment options are available.

If you’re experiencing recurring painful lumps or “boils,” getting the right diagnosis early can help guide more effective treatment.

If you’re dealing with ongoing symptoms, you’re not alone — and support and treatment options are available.