2022 AMI Online Salon

Hidradenitis suppurativa

Project Details

  • Entrant Name:  Audra Geras
  • Client: Digitas
  • Copyright: Audra Geras, 2022
  • Medium/software used: ZBrush, Keyshot, Photoshop
  • Final presentation format: Multi-use in print and digital media
  • Primary Audience: Dermatologists

Project Description

Hydradenitis suppurativa (HS) is a frequently devastating and very painful auto-inflammatory condition that affects the areas of the body in which apocrine glands and body folds are found. The axillae, groin, and area under the breasts are most commonly afflicted. The triple challenge in creating this educational/marketing piece was to show the clinical appearance of HS, its characteristic histopathology, as well as what is going on beneath the epidermis. I kept the focus on the relevant features of the disease by treating the deeper area of the dermis as a sketch. This also permitted an unobstructed view beneath the epidermis. This illustration was accompanied by a 2nd image showing moderate improvement following the use of a therapeutic drug. The etiology of HS is still poorly understood and new and better treatments are badly needed. Severe cases often require surgery and skin grafts. Secondary infections are common. Having a family history, obesity, smoking, and an African American heritage are all risk factors. The incidence of HS in women is also 1.5 times than in men. The psychological impact of HS can be severe, causing depression, negative body image and the anxiety caused by living with chronic pain and sometimes repeated surgeries. This was one of the most heart-breaking conditions I’ve illustrated.