Causes, Effects and Remedies of Boils

What is a boil? 

A boil is a localized infection in the skin that begins as a reddened, tender area. Over time, the area becomes firm, hard, and more tender. Eventually, the center of the boil softens and becomes filled with infection-fighting white blood cells from the bloodstream to eradicate the infection.

This collection of white blood cells, bacteria, and proteins is known as pus. Finally, the pus "forms a head," which can be surgically opened or spontaneously drain out through the surface of the skin. Pus enclosed within tissue is referred to as an abscess.

A boil is also referred to as a skin abscess.

Picture: What does a boil look like?

There are several different types of boils:

• Furuncle or carbuncle: This is an abscess in the skin usually caused by the bacterium Staphylococcus aureus. A furuncle can have one or more openings onto the skin and may be associated with a fever or chills. The term furuncle is used to refer to a typical boil that occurs within a hair follicle. The term carbuncle is typically used to represent a larger abscess that involves a group of hair follicles and involves a larger area than a furuncle. A carbuncle can form a hardened lump that can be felt in the skin. The condition of having chronic, recurring boils is referred to as furunculosis or carbunculosis.

Picture of a carbuncle

• Cystic acne: This is a type of abscess that is formed when oil ducts become clogged and infected. Cystic acne affects deeper skin tissue than the more superficial inflammation from common acne. Cystic acne is most common on the face and typically occurs in the teenage years.
• Hidradenitis suppurativa: This is a condition in which there are multiple abscesses that form under the armpits and often in the groin area. These areas are a result of local inflammation of the sweat glands. This form of skin infection is difficult to treat with antibiotics alone and typically requires a surgical procedure to remove the involved sweat glands in order to stop the skin inflammation.
• Pilonidal cyst: This is a unique kind of abscess that occurs in the crease of the buttocks. Pilonidal cysts often begin as tiny areas of infection in the base of the area of skin from which hair grows (the hair follicle). With irritation from direct pressure, over time the inflamed area enlarges to become a firm, painful, and tender nodule that makes it difficult to sit without discomfort. These frequently form after long trips that involve prolonged sitting.

 Boils facts

• A boil, or skin abscess, is a collection of pus that forms in the skin.
• Antibiotics alone can be inadequate in treating abscesses.
• The primary treatments for boils include hot packs and draining ("lancing") the abscess but only when it is soft and ready to drain.
• If you have a fever or long-term illness, such as cancer or diabetes, or are taking medications that suppress the immune system, you should contact your health care professional if you develop a boil (abscess).
• There are a number of methods that can be used to reduce the likelihood of developing some forms of boils, but boils are not completely preventable.

What causes boils to form?

There are many causes of boils. Some boils can be caused by an ingrown hair. Others can form as the result of a splinter or other foreign material that has become lodged in the skin. Others boils, such as those of acne, are caused by plugged sweat glands that become infected.

The skin is an essential part of our immune defense against materials and microbes that are foreign to our body. Any break in the skin, such as a cut or scrape, can develop into an abscess should it become infected with bacteria.

Who is most likely to develop a boil?

Anyone can develop a boil. However, people with certain illnesses or who take certain medications that impair the body's immune system (the natural defense system against foreign materials or microbes) are more likely to develop boils. Among the illnesses that can be associated with impaired immune systems are diabetes and kidney failure.

Diseases in which there is inadequate antibody production (such as hypogammaglobulinemia), that are associated with deficiencies in the normal immune system can increase the tendency to develop boils.

Many medications can suppress the normal immune system and increase the risk of developing boils. These medications include cortisone medications (prednisone [Deltasone, Liquid Pred] and prednisolone [Pediapred Oral Liquid, Medrol]) and medications used for cancer chemotherapy.

How are boils diagnosed?

The diagnosis of a boil can be made by observation of the typical signs and symptoms. Blood tests or specialized laboratory tests are not required to make the diagnosis of a boil.

If the infection within a boil has spread to deeper tissues or is extensive, cultures of the pus may be taken from the wound area to identify the precise type of bacteria responsible for the infection. This can guide the choice of antibiotics for treatment.

What is the treatment for a boil?

Home treatment is an option for most simple boils. Ideally, treatment should begin as soon as a boil is noticed since early treatment may prevent later complications.

The primary home remedy for most boils is heat application, usually with hot soaks or hot packs. Heat application increases the circulation to the area and allows the body to better fight off the infection by bringing antibodies and white blood cells to the site of infection
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As long as the boil is small and firm, opening the area and draining the boil is not helpful, even if the area is painful. However, once the boil becomes soft or "forms a head" (that is, a small pustule or area of pus is noted in the boil), it can be ready to drain.

Once drained, pain relief can be dramatic. Most small boils, such as those that form around hairs, drain on their own with hot soaks. On occasion, and especially with larger boils, medical treatment is required. In this situation, the boil will need to be drained or "lanced" by a health care professional. Frequently, these larger boils contain several pockets of pus that must be opened and drained.

Antibiotics are often used to eliminate any accompanying bacterial infection, especially if there is an infection of the surrounding skin. However, antibiotics are not needed in every situation. In fact, antibiotics have difficulty penetrating the outer wall of an abscess well and often will not cure an abscess without additional surgical drainage.

While boils typically resolve on their own and therefore have an excellent prognosis, there are special cases in which medical care should be sought when boils develop. Rarely, boils may spread or persist, leading to more widespread infections.

Any boil or abscess in a patient with diabetes or a patient with an underlying illness that can be associated with a weakened immune system (such as cancer, rheumatoid arthritis, etc.) should be evaluated by a health care professional.

Additionally, many medicines, especially prednisone, that suppress the immune system (the natural infection-fighting system of the body) can complicate what would be an otherwise simple boil. Those who are taking such medications should consult their health care professional if they develop boils.

Any boil that is associated with a fever should receive medical attention. Increasing reddening of the nearby skin and/or formation of red streaks on the skin, the failure of a boil to "form a head," and the development of multiple boils are other symptoms that warrant a visit to a health care professional.

A "pilonidal cyst," a boil that occurs between the buttocks, is a special case. These almost always require medical treatment, including drainage and packing (putting gauze in the opened abscess to assure it continues to drain). Finally, any painful boil that is not rapidly improving should be seen by a health care professional.

What is the prognosis (outcome) for a boil?

The majority of boils in healthy people resolve on their own with home care (described above). The prognosis is also excellent for boils that are treated in the health care setting by opening or lancing.

Antibiotics may or may not be required after a boil has been lanced by a health care professional. Complications of a boil are rare and are more likely to occur in people with suppressed immune systems. Complications include a worsening or spreading to adjacent areas of skin or soft tissue and very rarely, spread of the infection through the bloodstream to sites elsewhere in the body.

Recurrence of the infection is another possible complication, which is more likely in certain types of boils. Recurrence is most common in hidradenitis suppurativa and may also occur in situations in which the cause of the boil or abscess is persistent, such as the clogging of oil ducts seen in cystic acne.

What can be done to prevent boils (abscesses)?

There are some measures that you can take to prevent boils from forming although boils are not completely preventable. Good hygiene and the regular use of antibacterial soaps can help to prevent bacteria from building up on the skin.

This can reduce the chance for the hair follicles to become infected and prevent the formation of boils. In some situations, your health care professional may recommend special cleansers such as pHisoderm to even further reduce the bacteria on the skin.

When the hair follicles on the back of the arms or around the thighs are continually inflamed, regular use of an abrasive brush (loofah brush) in the shower can be used to help break up oil plugs and buildup around hair follicles.

Pilonidal cysts can be prevented by avoiding continuous direct pressure or irritation of the buttock area when a local hair follicle becomes inflamed. At that point, regular soap and hot water cleaning and drying can be helpful.

For acne and hidradenitis suppurativa (see above), topical or oral antibiotics may be required on a long-term basis to prevent recurrent abscess formation. As mentioned above, surgical resection of sweat glands in the involved skin may be necessary.

Other medications, such as isotretinoin (Accutane), can be used for cystic acne and have been helpful in some patients with hidradenitis suppurativa. Recurrences are common in patients with hidradenitis suppurativa.

Finally, surgery may occasionally be needed, especially for pilonidal cysts that recur but also for hidradenitis suppurativa. For pilonidal cysts, surgically removing the outer shell of the cyst is important to clear the boil. The procedure is typically performed in the operating room.

For hidradenitis suppurativa, extensive involvement can require surgical repair by a plastic surgeon.