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-- zandperl 19:04, 5 Apr 2004 (UTC)
Thanks Rob! I totally agree with number 7 ;-) What's in a name? Eh? I also wanted to add that I realize I have the "Velpeau's Disease" reference on my website also. I believe this is a good example of possible incorrect information being posted and copied from one website to another... I have also noticed that the "snake oil salemen" and spammers have taken a liking to this phrase and are using it strongly. I will correct this on my website as soon as I get around to doing all my updates, and after checking a bit further in medical references for the term "Velpeau's disease". But since the HSF does have the best medical database on HS, I'm almost certain that you are correct. Although this brings up another point for the ongoing discussion/debate of "HS versus AI"...or What is the actual correct name for this disease...different countries prefer different names... And once again, hopefully this is ok to be discussing this here...? If not, Zandperl please let us know and we'll take it to private email. Thanks --RuthB
I think it would be very helpful if someone could post photos of the lesions and scarring caused by hidradenitis suppurativa. I realize this may pose difficulties, but perhaps someone associated with the Hidradenitis Suppurativa Foundation could help out? BellyOption 23:59, 10 September 2006 (UTC)
One thing I'd like to point out following the above discussion, is to remind everyone that Wikipedia is not supposed to be original research or personal opinions. It is supposed to be reporting a summation of what other researchers say. For example, I believe I got the original list of names from http://hs-usa.org , rather than what I've heard doctors tell me it's called, and as such I should've put in a reference to that webpage.
To further the attempt to make sure we're doing neutral reporting (it's so tempting to put in all my opinions and thoughts on it!) I'm going to stick in a few notes where we need specific citations and references.
-- zandperl 13:39, 28 March 2006 (UTC)
The ref to "tunnels" said citation needed, and I found an article confirming that, though not the exact same wording. I felt it was useful to confirm that "tunnels" exist, so put in the citation.
Is this OK? WardXmodem ( talk) 22:21, 7 December 2013 (UTC)
(if it has not been already) : It's estimated (due the number of those afflicted who do not consult a physician) that roughly 80% of those with HS suffer from some sort of depression. I added some information to the page a few weeks ago and plan to contribute more. I have done extensive research on the subject, so I would like to (eventually) add what documentation I have found during the past two years about this disease. I myself have HS, and promise to keep personal opinions/theories to myself :)
This acne treatment site probably isn't good for wikipedia.
Sorry, I meant to phrase it as a question, and I hit save page instead of show preview (I think show preview should be the bolded one). The link needed a ~. I'm new to the wikipedia.
I am concerned about this section and the decisiveness on which it comments on treatments. Nearly a quarter of all suffers state that no treatment helps to relieve their symptoms (see http://abscesses.org/hidradenitisSuppurativa/content/view/22/33/ ). I think we need to add some statistic here (see JM von der Werth, HC Williams (2000), The natural history of hidradenitis suppurativa, Journal of the European Academy of Dermatology and Venereology 14 (5), 389-392. doi:10.1046/j.1468-3083.2000.00087.x ) to add some sense of reality. Talking about this as though it is a treatable and hence conveying it as an ultimately curable illness would be a gross exaggeration. -- DeepVeinInsomnia 22:43, 11 March 2007 (UTC)
I have found that washing my armpits, then putting alcohol on them, then, when dry, put Gold Bond Powder, and doing this at least one time daily helps them go away and helps prevent new ones from forming. Cindi H — Preceding unsigned comment added by 173.216.87.110 ( talk) 14:39, 29 March 2012 (UTC)
This section conveys the illness as rare however with documented (see Jan von der Werth, (2001) Hidradenitis suppurativa, Dermatology in Practice, Volume 9, Number 3, 2001 ISN: 0262-5504 available from http://www.hs-usa.org/pub/articles/2001_HS_VDW.pdf [Accessed 10 March 2006]) evidence that is contrary it is anything but rare and effects approximated one million suffers world wide with over 30% of the population knowing someone that is effected http://abscesses.org/hidradenitisSuppurativa/content/view/22/33/. It has a similar, though deeply less publicised, prevalence as aids in the 90's ( http://www.cdc.gov/mmwr/preview/mmwrhtml/00046531.htm#00002287.htm )do we need to debate this or simply over write it?
ggggg
Jensenbeachcpl 01:12, 16 March 2007 (UTC)
I've had HS for 30+ years. In the past 28 months, I've had seven surgeries related to HS; two of those were for the Ileostomy that was necessary, since the HS had migrated so close to my anus. I've since had most of the tissue of my vulva removed. Many, many years of extremely painful, chronically oozing abcesses relieved by what I determined to be my only option, multiple surgeries. Both armpits, buttocks, groin and small one under a breast. Skin grafts. I'd like to share my HS experiences in any way that might assist HS sufferers. MissCookie 05:14, 27 March 2007 (UTC)
Is there a source for the statment "...but it is generally considered to be ineffective" under Treatments, regarding isotretinoin? if not, it should be removed. 74.142.41.108 05:11, 7 October 2007 (UTC)
please comment if you want to retain the top half of this discussion page, it should start with a table of content if no one replies i will delete it, also I will delete the statement about refrence (sic) unless this ip can confirm they are part of the active community and understand the challenges this topic faces —Preceding unsigned comment added by Deepveininsomnia ( talk • contribs) 22:42, 6 May 2008 (UTC)
Please would you consider adding the website address for the British Association for Hidradenitis Suppurativa to the HS related pages. WWW.BA-HS.ORG.UK 90.197.86.28 ( talk) 14:31, 23 June 2009 (UTC)
i have had hs for 5 yrs and never heard of 1 study for it can anyone help or knows where i can go to find studie's on hs
75.70.139.70 ( talk) 04:44, 7 August 2009 (UTC)
My daughter has this condition and I have looked at this article a few times after my husband found it. Thankyou for it. I would like to add some material, at some point, as we have had some very real success treating it.. I will never put any material in without consensus. Bianca
-- LoudBellRinger ( talk) 02:13, 11 September 2009 (UTC)
Just checked the Tumeric article and it shows no information related to treatement of HS with Tumeric or Curcumin so I removed the link
Hello fellow Wikipedians,
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Cheers.— cyberbot II Talk to my owner:Online 08:44, 29 March 2016 (UTC)
This is probably the classic article, and this entry could be rewritten to follow this article.
http://www.nejm.org/doi/full/10.1056/NEJMcp1014163
Clinical Practice: Hidradenitis Suppurativa
Gregor B.E. Jemec
N Engl J Med
366:158-164
January 12, 2012
DOI: 10.1056/NEJMcp1014163
Key Clinical Points
Hidradenitis Suppurativa
There's also a more recent article on two successful phase 3 trials of adalimumab, which also has a nice introductory summary. http://www.nejm.org/doi/full/10.1056/NEJMoa1504370 But it isn't a review article. -- Nbauman ( talk) 05:26, 4 August 2016 (UTC)
I added this but someone else deleted it, so I'm putting it here on the talk page to see what others think.
https://www.ncbi.nlm.nih.gov/pubmed/10393449
Dermatology. 1999;198(3):261-4.
Cigarette smoking as a triggering factor of hidradenitis suppurativa.
König A1, Lehmann C, Rompel R, Happle R.
Out of 84 patients treated for hidradenitis suppurativa, 63 subjects (27 men, 36 women) completed the questionnaire. The rate of active cigarette smokers was 88.9% (56 patients), whereas 4 subjects (6.4%) had never smoked. 3 patients (4.8%) stated to be ex-smokers, but 2 of these had quit smoking only recently and after onset of the disease. The rate of smokers in the matched-pair control group was 46%. The significantly higher proportion of active smokers among patients with hidradenitis suppurativa can be expressed by an odds ratio of 9.4, the calculated 95% confidence interval was 3.7-23.7 (p < 0.001). The expected smoking prevalence in Germany was 26.7% according to national statistics. 73% of our patients had no family history of hidradenitis suppurativa whereas 27% reported at least one affected first-degree relative.
Bk33725681 ( talk) 07:46, 1 January 2017 (UTC)
Hi, there are now multiple primary, secondary and tertiary sources regarding the issue of smoking and HS. I would rather not see this wikipedia article descend into philosophical challenges which may lack scientific evidence. Smoking bad. I smoke. I have HS. The following is a quote from a dermatology professor (primary source) about a decade ago, which still rings true for me on a personal, subjective level "But I can only agree that this story is indeed a ‘textbook case’; but not of ‘the close relationship between smoking and HS’, of which there isn’t a whiff of evidence – but of the increasingly common misapplication of associative epidemiological statistics to aetiology. Causal mechanics is something it cannot do, and the frequent, inappropriate attempts serve only to produce the daily horror stories and lists of unsubstantiated associations that clog our journals and newspapers. Use of this bastard epidemiological substitute for science has spread like a cancer; it is doing much damage to genuine research, and has done much harm to the public’s belief in medical science." https://drive.google.com/open?id=0B8dMkA-G-zIhRzlyUGhaZm95WlU Shuster, S. (2008), A lesson to be learned from Karl Marx: smoking triggers hidradenitis suppurativa: reply from author. British Journal of Dermatology, 159: 256–257. doi:10.1111/j.1365-2133.2008.08605.x OzRobHowes ( talk) 22:16, 25 October 2017 (UTC)
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--
OzRobHowes (
talk)
22:43, 25 October 2017 (UTC)
-- OzRobHowes ( talk) 22:43, 25 October 2017 (UTC)
--
OzRobHowes (
talk)
22:57, 25 October 2017 (UTC)
OzRobHowes (
talk)
06:38, 27 October 2017 (UTC)
Thats cool, I will have suck it up for #1 Dr Lee trumps my subjective opinion. Thank you!
OzRobHowes (
talk)
06:38, 27 October 2017 (UTC)
doi:10.1001/jama.2017.16691 JFW | T@lk 14:25, 29 November 2017 (UTC)
Should this material be re-added? I'm aware that appears to be a single primary source. Thanks. Martinevans123 ( talk) 15:16, 2 July 2018 (UTC)
In the lede:
The condition is not caused by an infection, poor hygiene, or the use of deodorant.[3][4]
Under the heading triggering factors:
Deodorants, depilation products, shaving of the affected area – their association with HS is still an ongoing debate amongst researchers.[19]
Is there no association between deodorants and HS, or is the association between deodorants and HS disputed? The article can only make one of these claims in good sense.-- 66.190.13.201 ( talk) 10:25, 1 October 2021 (UTC)
I worked on creating the original Wikipedia page on Hydradenitis Suppurativa 15-20 years ago (under some user name I no longer recall). I suffered tremendously from the condition for over 10 years before finally being correctly diagnosed. I have experienced *hundreds* of outbreaks and long-lasting episodes over a *40 year period* and after dissecting my own experience and studying everything I could regarding apocrine glands and hydradenitis suppurativa, it is *crystal clear* to me that, at least in my own case, stress, fear, pain, and sexual arousal or erotic stress are unquestionably THE MAIN TRIGGERS.
Following is my most recent addition to the page. I fully expect it to be deleted (again) because I don't have some kind of degree in the field and the requisite cites. However, I am absolutely certain that my 40 years of continual personal experience, diligent observation, and simple deductive reasoning are of great value here!!
""Stress, Pain, Sexual Arousal, Fear. Apocrine glands secrete a concentrated fatty sweat, and are stimulated by situations causing stress, pain, sexual arousal or fear. Such situations cause the apocrine glands to contract, expelling their contents. If the glands or hair follicles associated with the apocrine glands are somehow blocked, this can cause abscesses. It is unknown why these direct causes have been continually overlooked.""
Is this really just *so simple* as to be disregarded??
-What are the purpose and function of apocrine sweat glands? -What situations stimulate secretion of the fluids created by these glands?
WILL SOMEONE IN THE MEDICAL COMMUNITY **PLEASE** TAKE ON THE RESPONSIBILITY OF ADDRESSING THIS!!! Don't let people continue to suffer this horrendous condition due to its psychological triggers continually being overlooked!!! Wendykpage ( talk) 16:35, 29 October 2023 (UTC)
![]() | This article is rated B-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||||
|
![]() | It is requested that an image or photograph of Hidradenitis suppurativa be
included in this article to
improve its quality. Please replace this template with a more specific
media request template where possible.
The Free Image Search Tool or Openverse Creative Commons Search may be able to locate suitable images on Flickr and other web sites. |
![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Hidradenitis suppurativa.
|
-- zandperl 19:04, 5 Apr 2004 (UTC)
Thanks Rob! I totally agree with number 7 ;-) What's in a name? Eh? I also wanted to add that I realize I have the "Velpeau's Disease" reference on my website also. I believe this is a good example of possible incorrect information being posted and copied from one website to another... I have also noticed that the "snake oil salemen" and spammers have taken a liking to this phrase and are using it strongly. I will correct this on my website as soon as I get around to doing all my updates, and after checking a bit further in medical references for the term "Velpeau's disease". But since the HSF does have the best medical database on HS, I'm almost certain that you are correct. Although this brings up another point for the ongoing discussion/debate of "HS versus AI"...or What is the actual correct name for this disease...different countries prefer different names... And once again, hopefully this is ok to be discussing this here...? If not, Zandperl please let us know and we'll take it to private email. Thanks --RuthB
I think it would be very helpful if someone could post photos of the lesions and scarring caused by hidradenitis suppurativa. I realize this may pose difficulties, but perhaps someone associated with the Hidradenitis Suppurativa Foundation could help out? BellyOption 23:59, 10 September 2006 (UTC)
One thing I'd like to point out following the above discussion, is to remind everyone that Wikipedia is not supposed to be original research or personal opinions. It is supposed to be reporting a summation of what other researchers say. For example, I believe I got the original list of names from http://hs-usa.org , rather than what I've heard doctors tell me it's called, and as such I should've put in a reference to that webpage.
To further the attempt to make sure we're doing neutral reporting (it's so tempting to put in all my opinions and thoughts on it!) I'm going to stick in a few notes where we need specific citations and references.
-- zandperl 13:39, 28 March 2006 (UTC)
The ref to "tunnels" said citation needed, and I found an article confirming that, though not the exact same wording. I felt it was useful to confirm that "tunnels" exist, so put in the citation.
Is this OK? WardXmodem ( talk) 22:21, 7 December 2013 (UTC)
(if it has not been already) : It's estimated (due the number of those afflicted who do not consult a physician) that roughly 80% of those with HS suffer from some sort of depression. I added some information to the page a few weeks ago and plan to contribute more. I have done extensive research on the subject, so I would like to (eventually) add what documentation I have found during the past two years about this disease. I myself have HS, and promise to keep personal opinions/theories to myself :)
This acne treatment site probably isn't good for wikipedia.
Sorry, I meant to phrase it as a question, and I hit save page instead of show preview (I think show preview should be the bolded one). The link needed a ~. I'm new to the wikipedia.
I am concerned about this section and the decisiveness on which it comments on treatments. Nearly a quarter of all suffers state that no treatment helps to relieve their symptoms (see http://abscesses.org/hidradenitisSuppurativa/content/view/22/33/ ). I think we need to add some statistic here (see JM von der Werth, HC Williams (2000), The natural history of hidradenitis suppurativa, Journal of the European Academy of Dermatology and Venereology 14 (5), 389-392. doi:10.1046/j.1468-3083.2000.00087.x ) to add some sense of reality. Talking about this as though it is a treatable and hence conveying it as an ultimately curable illness would be a gross exaggeration. -- DeepVeinInsomnia 22:43, 11 March 2007 (UTC)
I have found that washing my armpits, then putting alcohol on them, then, when dry, put Gold Bond Powder, and doing this at least one time daily helps them go away and helps prevent new ones from forming. Cindi H — Preceding unsigned comment added by 173.216.87.110 ( talk) 14:39, 29 March 2012 (UTC)
This section conveys the illness as rare however with documented (see Jan von der Werth, (2001) Hidradenitis suppurativa, Dermatology in Practice, Volume 9, Number 3, 2001 ISN: 0262-5504 available from http://www.hs-usa.org/pub/articles/2001_HS_VDW.pdf [Accessed 10 March 2006]) evidence that is contrary it is anything but rare and effects approximated one million suffers world wide with over 30% of the population knowing someone that is effected http://abscesses.org/hidradenitisSuppurativa/content/view/22/33/. It has a similar, though deeply less publicised, prevalence as aids in the 90's ( http://www.cdc.gov/mmwr/preview/mmwrhtml/00046531.htm#00002287.htm )do we need to debate this or simply over write it?
ggggg
Jensenbeachcpl 01:12, 16 March 2007 (UTC)
I've had HS for 30+ years. In the past 28 months, I've had seven surgeries related to HS; two of those were for the Ileostomy that was necessary, since the HS had migrated so close to my anus. I've since had most of the tissue of my vulva removed. Many, many years of extremely painful, chronically oozing abcesses relieved by what I determined to be my only option, multiple surgeries. Both armpits, buttocks, groin and small one under a breast. Skin grafts. I'd like to share my HS experiences in any way that might assist HS sufferers. MissCookie 05:14, 27 March 2007 (UTC)
Is there a source for the statment "...but it is generally considered to be ineffective" under Treatments, regarding isotretinoin? if not, it should be removed. 74.142.41.108 05:11, 7 October 2007 (UTC)
please comment if you want to retain the top half of this discussion page, it should start with a table of content if no one replies i will delete it, also I will delete the statement about refrence (sic) unless this ip can confirm they are part of the active community and understand the challenges this topic faces —Preceding unsigned comment added by Deepveininsomnia ( talk • contribs) 22:42, 6 May 2008 (UTC)
Please would you consider adding the website address for the British Association for Hidradenitis Suppurativa to the HS related pages. WWW.BA-HS.ORG.UK 90.197.86.28 ( talk) 14:31, 23 June 2009 (UTC)
i have had hs for 5 yrs and never heard of 1 study for it can anyone help or knows where i can go to find studie's on hs
75.70.139.70 ( talk) 04:44, 7 August 2009 (UTC)
My daughter has this condition and I have looked at this article a few times after my husband found it. Thankyou for it. I would like to add some material, at some point, as we have had some very real success treating it.. I will never put any material in without consensus. Bianca
-- LoudBellRinger ( talk) 02:13, 11 September 2009 (UTC)
Just checked the Tumeric article and it shows no information related to treatement of HS with Tumeric or Curcumin so I removed the link
Hello fellow Wikipedians,
I have just added archive links to one external link on
Hidradenitis suppurativa. Please take a moment to review
my edit. You may add {{
cbignore}}
after the link to keep me from modifying it, if I keep adding bad data, but formatting bugs should be reported instead. Alternatively, you can add {{
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(last update: 5 June 2024).
Cheers.— cyberbot II Talk to my owner:Online 08:44, 29 March 2016 (UTC)
This is probably the classic article, and this entry could be rewritten to follow this article.
http://www.nejm.org/doi/full/10.1056/NEJMcp1014163
Clinical Practice: Hidradenitis Suppurativa
Gregor B.E. Jemec
N Engl J Med
366:158-164
January 12, 2012
DOI: 10.1056/NEJMcp1014163
Key Clinical Points
Hidradenitis Suppurativa
There's also a more recent article on two successful phase 3 trials of adalimumab, which also has a nice introductory summary. http://www.nejm.org/doi/full/10.1056/NEJMoa1504370 But it isn't a review article. -- Nbauman ( talk) 05:26, 4 August 2016 (UTC)
I added this but someone else deleted it, so I'm putting it here on the talk page to see what others think.
https://www.ncbi.nlm.nih.gov/pubmed/10393449
Dermatology. 1999;198(3):261-4.
Cigarette smoking as a triggering factor of hidradenitis suppurativa.
König A1, Lehmann C, Rompel R, Happle R.
Out of 84 patients treated for hidradenitis suppurativa, 63 subjects (27 men, 36 women) completed the questionnaire. The rate of active cigarette smokers was 88.9% (56 patients), whereas 4 subjects (6.4%) had never smoked. 3 patients (4.8%) stated to be ex-smokers, but 2 of these had quit smoking only recently and after onset of the disease. The rate of smokers in the matched-pair control group was 46%. The significantly higher proportion of active smokers among patients with hidradenitis suppurativa can be expressed by an odds ratio of 9.4, the calculated 95% confidence interval was 3.7-23.7 (p < 0.001). The expected smoking prevalence in Germany was 26.7% according to national statistics. 73% of our patients had no family history of hidradenitis suppurativa whereas 27% reported at least one affected first-degree relative.
Bk33725681 ( talk) 07:46, 1 January 2017 (UTC)
Hi, there are now multiple primary, secondary and tertiary sources regarding the issue of smoking and HS. I would rather not see this wikipedia article descend into philosophical challenges which may lack scientific evidence. Smoking bad. I smoke. I have HS. The following is a quote from a dermatology professor (primary source) about a decade ago, which still rings true for me on a personal, subjective level "But I can only agree that this story is indeed a ‘textbook case’; but not of ‘the close relationship between smoking and HS’, of which there isn’t a whiff of evidence – but of the increasingly common misapplication of associative epidemiological statistics to aetiology. Causal mechanics is something it cannot do, and the frequent, inappropriate attempts serve only to produce the daily horror stories and lists of unsubstantiated associations that clog our journals and newspapers. Use of this bastard epidemiological substitute for science has spread like a cancer; it is doing much damage to genuine research, and has done much harm to the public’s belief in medical science." https://drive.google.com/open?id=0B8dMkA-G-zIhRzlyUGhaZm95WlU Shuster, S. (2008), A lesson to be learned from Karl Marx: smoking triggers hidradenitis suppurativa: reply from author. British Journal of Dermatology, 159: 256–257. doi:10.1111/j.1365-2133.2008.08605.x OzRobHowes ( talk) 22:16, 25 October 2017 (UTC)
Hello fellow Wikipedians,
I have just modified 2 external links on Hidradenitis suppurativa. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:
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This message was posted before February 2018.
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Cheers.— InternetArchiveBot ( Report bug) 02:24, 2 April 2017 (UTC)
--
OzRobHowes (
talk)
22:43, 25 October 2017 (UTC)
-- OzRobHowes ( talk) 22:43, 25 October 2017 (UTC)
--
OzRobHowes (
talk)
22:57, 25 October 2017 (UTC)
OzRobHowes (
talk)
06:38, 27 October 2017 (UTC)
Thats cool, I will have suck it up for #1 Dr Lee trumps my subjective opinion. Thank you!
OzRobHowes (
talk)
06:38, 27 October 2017 (UTC)
doi:10.1001/jama.2017.16691 JFW | T@lk 14:25, 29 November 2017 (UTC)
Should this material be re-added? I'm aware that appears to be a single primary source. Thanks. Martinevans123 ( talk) 15:16, 2 July 2018 (UTC)
In the lede:
The condition is not caused by an infection, poor hygiene, or the use of deodorant.[3][4]
Under the heading triggering factors:
Deodorants, depilation products, shaving of the affected area – their association with HS is still an ongoing debate amongst researchers.[19]
Is there no association between deodorants and HS, or is the association between deodorants and HS disputed? The article can only make one of these claims in good sense.-- 66.190.13.201 ( talk) 10:25, 1 October 2021 (UTC)
I worked on creating the original Wikipedia page on Hydradenitis Suppurativa 15-20 years ago (under some user name I no longer recall). I suffered tremendously from the condition for over 10 years before finally being correctly diagnosed. I have experienced *hundreds* of outbreaks and long-lasting episodes over a *40 year period* and after dissecting my own experience and studying everything I could regarding apocrine glands and hydradenitis suppurativa, it is *crystal clear* to me that, at least in my own case, stress, fear, pain, and sexual arousal or erotic stress are unquestionably THE MAIN TRIGGERS.
Following is my most recent addition to the page. I fully expect it to be deleted (again) because I don't have some kind of degree in the field and the requisite cites. However, I am absolutely certain that my 40 years of continual personal experience, diligent observation, and simple deductive reasoning are of great value here!!
""Stress, Pain, Sexual Arousal, Fear. Apocrine glands secrete a concentrated fatty sweat, and are stimulated by situations causing stress, pain, sexual arousal or fear. Such situations cause the apocrine glands to contract, expelling their contents. If the glands or hair follicles associated with the apocrine glands are somehow blocked, this can cause abscesses. It is unknown why these direct causes have been continually overlooked.""
Is this really just *so simple* as to be disregarded??
-What are the purpose and function of apocrine sweat glands? -What situations stimulate secretion of the fluids created by these glands?
WILL SOMEONE IN THE MEDICAL COMMUNITY **PLEASE** TAKE ON THE RESPONSIBILITY OF ADDRESSING THIS!!! Don't let people continue to suffer this horrendous condition due to its psychological triggers continually being overlooked!!! Wendykpage ( talk) 16:35, 29 October 2023 (UTC)