Hi Dr Aryann,
Based on your pattern (every ~10 days, painful, in armpits and private parts), this strongly suggests hidradenitis suppurativa or chronic folliculitis.
You should do these tests for confirmation:
CBC FBD,HbA1c Pus culture and sensitivity LFT,RFT Hormonal profile
Topical clindamycin 1% is more effective than fusidic acid.
Feel free to ask
Thank you dear
Hello, Consult a dermatologist for the BEST treatment. Your symptoms are chronic and recurrent. Therefore, Don’t take further medicines without consultation.
You can ask any doubt. Take care
Get evaluated by a dermatologist — to confirm if it is hidradenitis suppurativa or recurrent staph boils.
Tests recommended Cbc Blood sugar (rule out diabetes). Swab culture from pus STD PANEL
Treatment Clindamycin 1% gel until cause is discovered After that oral antibiotics
This requires physical examination for better assurance. To come to the diagnosis in person consultation would be great option. Thank you.
Recurring painful boils/pustular pimples in underarms and private area every 10 days suggests a condition like hidradenitis suppurativa, recurrent folliculitis, or staphylococcal infection. Since fucidin cream alone is not helping, you may need oral antibiotics, antiseptic washes (chlorhexidine), and sometimes retinoids or immunomodulatory treatment, which must be prescribed by a dermatologist. Please consult a dermatologist for culture testing and proper long-term management, as self-use of creams may not cure the root cause.
1. Recurrent pustular boils in underarms and groin are usually due to bacterial colonization, sweat gland infection, or a condition called hidradenitis suppurativa.
2. Fucidin alone often doesn’t work in recurrent or deep infections, and oral antibiotics or a culture test may be needed to target the exact bacteria.
3. Factors like shaving, tight synthetic clothing, excess sweating, or diabetes can worsen recurrence.
4. Use antiseptic washes (chlorhexidine or povidone iodine) for cleansing instead of regular soaps, and keep the area dry.
5. Avoid repeated self-use of creams without guidance, as resistant bacteria may form and the infection will keep coming back.
6. A dermatologist consultation is essential they may advise oral antibiotics, retinoids, or minor procedures depending on the diagnosis.
Recurrent pustular pimples or boils in areas like the underarms and groin could possibly indicate a condition called Hidradenitis Suppurativa, or it might be recurrent folliculitis or some other dermatological issue. Fucidin (an antibiotic) may not be effective if the underlying cause is not a bacterial infection. In some cases, persistent boils can be due to clogged sweat glands or hair follicles, excess sweating, friction, or even hormonal imbalances. To effectively manage this, it’s important to ensure good hygiene, wear loose-fitting clothing, and keep the affected areas dry and clean. Over-the-counter antiseptic washes before applying any cream might help reduce bacterial load. Applying warm compresses can also alleviate discomfort and promote drainage if there’s an acute flare-up. If Fucidin is not providing relief, a prescription-strength topical antibiotic or a different class of medication may be necessary, but this should be guided by a doctor. Consider also addressing potential systemic factors, like managing weight or stabilizing blood glucose if you have diabetes, as these might contribute to skin infections. It’s crucial to see a dermatologist or general practitioner who can provide an accurate diagnosis, and possibly recommend other treatments such as oral antibiotics or even injectables if needed. Long-standing or worsening symptoms should prompt you to see a doctor to rule out more serious conditions. Avoid squeezing the boils as this can worsen the infection or spread bacteria to nearby skin. If experiencing fever, severe pain, or rapidly spreading redness, you should seek immediate medical attention.
