Hidradenitis suppurativa (HS)

What causes HS, and why does skincare matter?

HS occurs due to a combination of genetic, hormonal, and immune factors that cause hair follicles to become plugged, leading to bacterial overgrowth and inflammation. Proper skincare helps control microbial growth, reducing flare-ups and alleviating symptoms, making it an essential part of managing HS.

How do you manage HS with skincare?

Effective skincare for HS begins with proper cleansing to prevent bacterial and fungal overgrowth and reduce inflammation. Cleansers containing sodium hypochlorite, like CLn BodyWash, are ideal as they are antimicrobial and gentle on compromised skin. Regular cleansing helps minimise redness, swelling, drainage, and odour, all of which are common symptoms of HS. Incorporating a non-irritating skincare routine that avoids harsh products is key to managing HS effectively.

What is sodium hypochlorite, and how does it help with HS?

Sodium hypochlorite is a powerful antimicrobial agent with antibacterial and antifungal properties. In HS, it helps 
reduce the bacterial overgrowth that causes inflammation, drainage, and odour. Clinical studies have shown that cleansing with sodium hypochlorite-based products like CLn BodyWash can reduce HS symptoms by over 50% within four weeks, providing relief without the dryness caused by harsher antiseptic products like chlorhexidine or benzoyl peroxide.

How should HS patients use sodium hypochlorite cleansers?

There are two effective methods for using sodium hypochlorite cleansers:

• Full-body cleansing: Apply the cleanser, like CLn BodyWash, daily in the shower, leave it on for 1-2 minutes, and rinse off.
• Targeted treatment: Dab a small amount directly onto active lesions before bed, leave it on overnight, and rinse it off in the morning.

Both methods have been shown to significantly reduce HS symptoms, including redness, pain, swelling, and odour.

HS patients may benefit from:

CLn Shampoo: Formulated with sodium hypochlorite and salicylic acid, it helps manage folliculitis, which is common in HS, and can double as a body wash.

Moisturisers: Non-comedogenic, fragrance-free moisturisers to maintain skin hydration and prevent irritation.
Antiseptic sprays or wipes: For on-the-go cleansing in affected areas.

In addition to proper cleansing, managing HS includes:

• Wearing loose clothing to reduce friction in affected areas.
• Maintaining a healthy diet to minimise inflammation.
• Avoiding harsh chemicals and fragrances that may irritate sensitive skin.
• Seeking medical treatment, including topical or oral antibiotics, steroids, or biologics like Humira for severe cases.

How long does it take for skincare to show results in HS?

Using sodium hypochlorite cleansers daily can show significant improvement within 2-4 weeks. Symptoms such as pain, swelling, redness, odour, and drainage are often reduced by 50% or more during this period when cleansing is done consistently.

Can skincare prevent scarring from HS?

While skincare cannot completely prevent scarring, it can significantly reduce the severity of HS lesions and minimise the risk of chronic scarring and tunnels. Using sodium hypochlorite-based products, combined with dermatologist-recommended treatments, can help improve the skin’s condition and prevent severe complications.