Are blackheads normal with HS?

Yes! However, these "blackhead-like" are far from ordinary. They are technically called double-ended pseudocomedones, (DEP) or sometimes referred to as double-ended comedones.

DEP’s are signs of HS that are often overlooked. Nevertheless, they are deemed a standard clinical sign of HS. And play an important role in helping clinicians diagnose Hidradenitis Suppurativa.

DEP’s are identified as coupled hollows surrounded by whitish cicatricial tissue during dermoscopic examination (the examination of the skin using skin surface microscopy). Keratin was found to be accumulating. Under histopathological examination (study of diseased cells and tissues using a microscope), they were identified as large hollows with dilated superficial openings.

Most DEP's are a result of the healing of previous inflammatory lesions.
It’s also common for individuals with HS to experience whiteheads and pimple-like bumps.  

To prevent further harm and potential HS flares, refrain from picking or squeezing. 

_{I will go into this topic more thoroughly in the future in my article (will be tagged to this section). Including tips on how to better manage.}

_{Special Note: Researched, compiled, and written by Denise Fixsen. This information is backed by my 46 years of living with Hidradenitis Suppurativa, 10 years of dealing with multiple chronic illnesses, 36 years of advocacy, and continuous education. And to ensure accuracy, reliability, and trustworthiness, I incorporate peer-reviewed studies and other high-quality sources into my articles and material. I also wanted to inform you that I’ve chosen to end my collaboration with editors on my articles. Although there may be grammar errors due to brain illnesses (mostly), with this said, my content remains reliable, factual, and solid.}

_{Medical Disclaimer: This content is solely for information, education, and support. The purpose is not to serve as a replacement for professional medical advice, diagnosis, or treatments.}

_{Sources: doi.org/10.1016/j.jaad.2017.04.415 doi:10.2340/00015555-2601}

_{Image Credit: Dermatology Clinic, University of Catania, A.O.U. Policlinico-Vittorio Emanuele, Via Santa Sofia, 78, IT-95123, Catania, Italy.}

_{FAQ posted on 08-27-2024}