Atopic Dermatitis in Children: Why Winter Makes It Worse
Red, rough, itchy cheeks and skin folds in winter are a classic picture of atopic dermatitis. Here is what is happening in the skin.
HS Connect · Bangladesh Center
Hidradenitis Suppurativa — you are not alone.
The Bangladesh Center for HS Connect — recognition, specialist treatment and patient education for HS, alongside complete general dermatology with Dr. Afroza Jesmin.
Dr. Afroza Jesmin
- MD (Dermatology & Venereology)
Assistant ProfessorDepartment of Dermatology & VenereologyDhaka Medical College
Assistant ProfessorDhaka Medical College
Bangladesh CenterHS Connect
Hidradenitis Suppurativa
What is Hidradenitis Suppurativa?
Hidradenitis suppurativa (HS), also known as acne inversa, is a debilitating chronic inflammatory skin disease of the intertriginous areas — the skin folds of the body 1. It is clinically characterised by painful, recurrent, deep-seated inflammatory nodules and abscesses that, as the disease progresses, may evolve into dermal tunnels with malodorous discharge and disfiguring scarring, severely affecting patients' quality of life 2.
HS is a disease of the terminal hair follicle, typically occurring in apocrine gland-bearing areas of the body such as the axillae, breasts, groins and buttocks 4. These areas differ from other skin by their higher temperature, higher moisture and reduced oxygen availability, a specific anaerobe-enriched microbiome and increased mechanical stress.
HS is a clinical diagnosis and remains a diagnostic challenge 3. It is often misdiagnosed because of its varied presentation, low disease recognition and its clinical similarity to more common localised soft-tissue infections. It can take 12 years or more from the onset of symptoms to diagnosis, with a mean delay of 7.2 years 3.
Where HS usually appears
- Axillae (armpits)
- Breasts
- Groins
- Buttocks
References
- Alikhan A, Lynch PJ, Eisen DB. Hidradenitis suppurativa: a comprehensive review. J Am Acad Dermatol. 2009;60(4):539-561; quiz 562-563. doi:10.1016/j.jaad.2008.11.911
- Alikhan A, Sayed C, Alavi A, et al. North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part I: Diagnosis, evaluation, and the use of complementary and procedural management. J Am Acad Dermatol. 2019;81(1):76-90. PMID: 30872156; PMCID: PMC9131894. doi:10.1016/j.jaad.2019.02.067
- Anduquia-Garay F, Rodríguez-Gutiérrez MM, Poveda-Castillo IT, et al. Hidradenitis suppurativa: Basic considerations for its approach: A narrative review. Annals of Medicine and Surgery. 2021;68:102679.
- Vural S, Gündoğdu M, Akay BN, et al. Hidradenitis suppurativa: clinical characteristics and determinants of treatment efficacy. Dermatologic Therapy. 2019;32(5):e13003.
Treatment
How HS is treated
There is no single treatment for every person with HS. Care is planned around the stage of the disease, the areas involved and how HS affects your daily life — and usually combines several approaches.
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Medicines
Topical treatments, antibiotics and anti-inflammatory medicines, chosen according to the stage of HS.
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Biologic therapy
For moderate to severe HS, targeted biologic medicines may be considered under specialist supervision.
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Procedures
Drainage when needed, deroofing of tunnels, excision of persistent areas and laser options — decided case by case.
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Wound & pain care
Dressings, pain control and gentle skin care that make daily life easier.
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Lifestyle support
Stopping smoking, weight management and loose, breathable clothing can help reduce flares.
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Emotional support
HS can affect mood, confidence and relationships — counselling and peer support are part of care.
General patient information. Diagnosis and treatment are decided individually at consultation.
HS Connect · Bangladesh Center
Bangladesh Center for HS Connect
HS Skin Care is the Bangladesh Center for HS Connect — an international organisation that supports people living with hidradenitis suppurativa through reliable information, specialist care and peer support, in their own language. Through HS Connect Bangladesh, patients can find a Bengali HS guide, support groups and resources for living well with HS.
Two pillars of care
One clinic, two commitments.
Your dermatologist
Medicine, experience & a more personal approach to skin health.
Assistant ProfessorDepartment of Dermatology & VenereologyDhaka Medical College
Dr. Afroza Jesmin is a dermatologist with experience across clinical dermatology, dermatosurgery and aesthetic procedures. She completed her MD in Dermatology & Venereology at Bangabandhu Sheikh Mujib Medical University (BSMMU) after graduating MBBS from Sir Salimullah Medical College.
Alongside patient care she is active in clinical research and professional leadership, with a special interest in hidradenitis suppurativa, psoriasis, neglected tropical skin diseases and skin-health equity.
- Current position
- Assistant Professor, Department of Dermatology & Venereology, Dhaka Medical College
- Specialty
- MD (Dermatology & Venereology) · Skin, Allergy & Venereal Disease Specialist
- Memberships
- Bangladesh Academy of Dermatology · Bangladesh Dermatology Society · Psoriasis Awareness Club, Bangladesh · European Academy of Dermatology & Venereology (EADV)
- Hidradenitis suppurativa
- Psoriasis
- Scabies & neglected tropical skin diseases
- Superficial fungal infections
- Dermatosurgery
- Aesthetic dermatology
- MD, Dermatology & VenereologyBangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
- Fellowship in DermatosurgeryChennai Skin Foundation, India
- Advanced Training in Aesthetic MedicineAmerican Academy of Aesthetic Medicine
- Secretary (Dermatosurgery)Bangladesh Academy of Dermatology
In the clinic
Listen first, explain clearly, decide together.
Every visit starts with your concerns, your history and what you hope to change. Before any procedure you should know what it involves, what to expect and how to care for your skin afterwards — so each step of your treatment is a decision made together.
General Dermatology
General dermatology, carefully diagnosed.
From everyday skin concerns to chronic inflammatory disease — every plan begins with an accurate diagnosis.
General Dermatology- Acne & Adult Acne Breakouts that persist into adulthood — or begin after 25 — have many possible causes and deserve a proper assessment.
- Atopic Dermatitis (Eczema) Very common in children and often worse in winter — dry, itchy, red skin caused by a weakened skin barrier.
- Psoriasis A long-term inflammatory condition causing thickened, scaly patches. With the right plan, it can usually be well controlled.
- Skin Allergy & Urticaria Itchy rashes, hives and allergic reactions of the skin — identifying the trigger is the first step.
- Fungal Skin Infections Ringworm and other superficial fungal infections are common in our climate and often need a full, correct course of treatment.
- Scabies Intense itching, often worse at night, that spreads among family members. Everyone in the household may need treatment.
- Hair Loss Thinning, shedding or patchy loss — the right treatment starts with finding the cause.
- Vitiligo White patches caused by loss of skin pigment. It is not contagious, and several treatment options exist.
- Sexual Health & STIs Confidential assessment and treatment of sexually transmitted infections and genital skin conditions.
General Dermatology
Dermatosurgery, laser & aesthetics.
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DermatosurgeryNail Surgery
Procedures for painful ingrown nails and other nail-unit problems.
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Laser & AestheticsChemical Peel
Controlled application of a peeling solution to improve skin texture, tone and certain acne-related concerns.
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Laser & AestheticsMicroneedling
Fine, controlled micro-punctures that stimulate the skin's own repair processes.
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Laser & AestheticsPRP for Hair Loss
Platelet-rich plasma prepared from your own blood and injected into the scalp to support hair-loss treatment.
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Laser & AestheticsLaser Treatments
Laser procedures chosen for the specific concern and skin type, including laser hair removal.
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Laser & Aesthetics
Mesotherapy
Micro-injections of a tailored solution into the skin or scalp to support skin quality and hair care.
- All treatments
Beyond the clinic
Research, teaching & global dermatology.
- 10 Peer-reviewed publications
- 6 Scientific presentations
- 5 International scholarships
- 4 Professional memberships
- 2026ILDS GLODERM MenteeInternational League of Dermatological Societies
- 2025Imrich Sarkany Non-European Memorial ScholarshipEADV Symposium, Prague
- 2025American Academy of Dermatology Annual Meeting ScholarshipAmerican Academy of Dermatology
- 2024Health Care Professional Scholarship33rd EADV Congress, Amsterdam
- 2023Young Dermatologist Rising Star Scholarship25th World Congress of Dermatology, Singapore
Recognition
A considered journey, start to finish.
Book an appointment-
Consultation
An unhurried conversation about your concerns, medical history and what you hope to achieve.
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Assessment
A careful skin examination and, where needed, tests to confirm the diagnosis before anything is prescribed.
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Personalised plan
Your options explained clearly — expected benefits, limitations, time and cost — so you can decide with confidence.
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Treatment
Medical, procedural or aesthetic care delivered in a clean, clinical setting.
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Follow-up
Progress is reviewed and the plan adjusted, because skin changes over time.
Expert conversations on skin health.
Watch moreলেজার হেয়ার রিমুভাল নিয়ে যত কিউরিস! । Dr Afroza Jesmin
Patient education, explained clearly.
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Let's talk about your skin.
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- Email[email protected]
HS Skin Care
House #100/1, Road #11/A, Satmasjid Road, Dhanmondi, Dhaka
Please call the hotline to confirm current consultation days and times.
HS Skin Care
House #100/1, Road #11/A, Satmasjid Road, Dhanmondi, Dhaka
Opposite Star Kabab / Pizza Hut
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