Hidradenitis Suppurativa and Long-Term Disability Claims

Hidradenitis Suppurativa (HS) is a chronic skin condition that causes painful nodules and abscesses. While some may experience mild symptoms, others endure severe, recurring flare-ups. If HS has affected your ability to work, you may be eligible for long-term disability (LTD) benefits. However, getting approved for benefits isn’t always easy.

Understanding Hidradenitis Suppurativa

HS is a chronic autoinflammatory disorder. It most commonly affects areas such as the armpits, groin, buttocks, and under the breasts. The condition causes painful lumps that may break open and drain foul-smelling fluid. Over time, repeated flare-ups can lead to scarring, sinus tracts (tunnels under the skin), and skin infections.

The exact cause of HS isn’t fully understood, but it’s believed to involve inflammation of hair follicles. Risk factors include genetics, obesity, smoking, and hormonal changes. The condition typically begins after puberty and may worsen over time.

Complications can include:

• Chronic pain
• Anemia
• Restricted mobility due to painful lesions
• Depression and anxiety
• Skin infections and abscesses
• Significant scarring and disfigurement
• Skin cancer

Functional Limitations from Hidradenitis Suppurativa 

HS can make it difficult to perform both physical and sedentary work. Pain, inflammation, and drainage from wounds can limit a person’s ability to work. It may impact their ability to sit, stand, walk, or wear work-appropriate clothing. Jobs that involve physical labor, heat exposure, or long hours without breaks can be especially challenging.

For example:

• A warehouse worker may struggle with lifting or physical exertion due to lesions in the underarms or groin.
• An office employee may find it difficult to sit for extended periods due to painful nodules in the buttocks.
• A healthcare worker may face infection control concerns and difficulty with hygiene requirements.

Chronic pain and psychological effects can also impair concentration and reliability.

Medical Evidence to Support Your Claim

Because HS symptoms can fluctuate and may not always be visible, thorough documentation is critical. Evidence to support your LTD claim may include:

• Dermatologist records showing diagnosis, lesion severity, and treatment response
• Photographs documenting flare-ups and affected areas
• Notes on abscess drainage, wound care, and infection control
• Surgical history, if applicable (e.g., incision and drainage procedures)
• Prescription history (e.g., antibiotics, immunosuppressants, pain medication)
• Reports from mental health providers if you also suffer from depression or anxiety

Consistent treatment and ongoing medical visits help show the seriousness of your condition.

Common Challenges in Hidradenitis Suppurativa Disability Claims

Claimants with HS may face hurdles such as:

• Lack of Objective Evidence: Insurers may question the severity of your symptoms if they don’t see clinical proof.
• Inconsistent Treatment: Gaps in medical care can make it seem like your condition isn’t severe.
• Underestimating Impact: Insurers may not fully understand how HS limits function beyond the skin.
• Surveillance or Biased Reviews: Insurers might conduct surveillance or hire doctors to downplay your limitations.

These issues can result in unfair claim denials or terminations.

Case Example: Real-World Impact of Hidradenitis Suppurativa

Consider “Laura,” a 39-year-old with HS affecting her underarms and groin. Her job required long hours on her feet, which often triggered flare-ups. Despite undergoing treatment, including antibiotics and minor procedures, her symptoms remained disruptive. Laura had to stop working due to frequent flare-ups and discomfort.

When she applied for LTD benefits, the insurer denied her claim, citing a lack of evidence. After submitting an appeal with more medical records and treatment notes, her claim was approved.

How an Attorney Can Help with Your LTD Claim

If your long-term disability claim has been denied or terminated, working with an experienced attorney can help. A disability lawyer can:

• Review your denial letter and policy terms
• Help you gather compelling medical evidence
• Coordinate expert evaluations
• Draft a strong appeal that addresses the insurer’s reasons for denial
• Represent you in ERISA litigation if necessary

The Ortiz Law Firm has a strong track record of helping claimants nationwide with long-term disability appeals and lawsuits. We have experience with a variety of insurance companies and medical conditions.

Contact Ortiz Law Firm for Help

If your long-term disability claim has been denied due to Hidradenitis Suppurativa, don’t give up. We offer personalized support in LTD appeals and litigation for claimants nationwide. Call (888) 321-8131 today to schedule your free case evaluation and get the help you deserve.