Re: FOR MARIE-Dr. please, Question about Boils

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AtSun,31Aug2003,Marie wrote:

AtSun,31Aug2003, anonymous@obgyn.net wrote:

I am 25yearsold and just over 13weeks pregnant having had one successful pregnancy 10months ago. My question is about boils, I began getting these when I was about 18 and they seem to get more severe all of the time. They grow to be extremely large and painful and every one of them leaves very noticible scarring. I get these on my upperthighs and on my behind and rarely on or around my vagina. My obgyn has seen several of them and says he beleives they are caused by a "abnormality of the sweat glands". He has in the past prescribed amoxicillin for these but the trouble is that is only a temporary fix and takes such a long time that the boils have usually began to dissapear by then anyways. Another doctor once said that they were caused because of extreme sensitivity to bacteria that is picked up from toilet seats, ect. The boils seem to be worse with my current pregnancy I have8large boils right now. Also my grandmother and mother have always gotten these boils as well and my grandmother used to have to have hers "lanced" off. I want to know if there is any preventive treatment to eliminate these boils and if they are actually caused by an "abnormaility of the sweat glands". They are painful and embarrassing and I am willing to try anything to get rid of them. Thank you

Dear Anonymous, Go see a dermatologist, they are more likely to be able to diagnosis and treat skin erruptions. It's possible that there are other treatment options available and safe during pregnancy. You may want to get tested for Alpha-1-Antitrypsin deficiency, this runs in families and may result in an ulcerating skin condition, Panniculitis, producing what might look like boils and become worse during pregnancy, in theory due to progestrone levels... I hope this helps, Marie

--
Dear Anonymous, any doctor can order serum A-1-Antitrypsin levels, however,
A1AT is an accute reactant, trauma can cause persons with genetic deficiency
to have normal levels, and you really want something at least midrange during
pregnancy(Vitamin  "E" can boost levels).  So have any doctor order serum
levels, goto: http://www.alphaone.org/
for free and confidential genetic testing, if you have any form of deficiency
other members of your family may wish to be tested.

The dermatologist may do a biopsy on a "boil" and will be familiar with
panniculitis(if you have it)and other forms of skin erruptions, A1AD is
one possibility.
Marie

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