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Work and everyday life

HS at Work

Document how HS affects your working day, prepare conversations and find reliable support information for Germany.

What this is for

Pain, drainage, restricted movement, dressing changes and recovery after procedures can make working with hidradenitis suppurativa difficult. This part of living with HS is rarely discussed — and when it is, it is usually in legal language that sits a long way from an actual working day.

This toolkit starts one step earlier: it helps you record practical effects, turn them into questions and prepare a conversation — with your healthcare team, with occupational health, or at work. If an official body turns out to be the right address afterwards, the last section points you there.

It does not assess your ability to work, determine disability status or provide legal advice. You decide what information to save, print or share.

No account is required. Your entries remain in your browser unless you choose to download them.

What would you like help with today?

Every route leads into the same tools. You can switch at any point, and nothing has to be filled in completely.

Why work needs its own record

A symptom diary records how the skin is doing. A conversation about work needs a second layer: what specifically did not work on a given day.

A German multicentre study found that HS can substantially impair work ability and productivity. That makes this a serious part of the condition rather than a footnote.

The difference is practical: “my HS is bad right now” is hard to act on. “On six of the last ten working days, walking between sites was difficult, twice I needed an unscheduled dressing change, and once I left early” is a conversation.

From symptom to consequence

Examples of what the same problem looks like in a work context. They are illustrations, not an assessment of your situation.

Clinical symptomWorkplace consequence
Painful lesion on the buttock Remaining seated through a long meeting is barely possible
Wound in the armpit Required workwear rubs against the affected area
Drainage A private place is needed for a dressing change
Wound after a procedure Lifting or prolonged walking is temporarily not possible
Night-time pain Concentration drops during an early shift

Topics that can be discussed

This list is a set of conversation prompts. It helps put your own needs into words before the conversation happens.

  • Temporary task modification
  • More flexible break timing
  • Access to a private changing or hygiene space
  • Short-term remote work where the role permits
  • Adjusted seating or standing arrangements
  • Temporary change to uniform or clothing requirements
  • Reduced walking or lifting after a procedure
  • Flexible scheduling for medical appointments
  • Staged return after absence
  • Occupational-health discussion
  • Other

None of these is an entitlement this site could establish. What is possible where you work depends on the role, on local circumstances and — where German law applies at all — on a case-by-case assessment only the responsible bodies can make.

How much you say is your choice

Before the toolkit drafts anything, it asks how open you want to be. There are four levels — and one of them deliberately produces no text at all.

  1. I want to describe a practical work limitation without naming my diagnosis. The draft describes the task and the limitation, not the condition.
  2. I want to disclose that I live with a chronic condition. The draft mentions a chronic condition, but no name and no diagnosis.
  3. I want to name hidradenitis suppurativa. The draft names the condition and describes it in one sentence — it contains no further medical detail.
  4. I only want to prepare questions and not create a message. No draft is generated. Your answers below stay as conversation notes.

You control what health information you disclose. This toolkit does not decide whether disclosure is appropriate in your individual situation, and does not recommend any of the four levels.

Official contact points in Germany

The anti-discrimination agency, degree of disability, Gleichstellung, occupational integration management, phased return to work, independent participation counselling and the integration offices — each with what the body covers and when we last checked the link.

Common questions

Do I have to tell my employer that I have HS?

This page cannot answer that for you — it depends on your role, your contract and your situation. The toolkit therefore does not make the decision for you: you choose one of four disclosure levels yourself, from “describe the limitation without naming a diagnosis” to “name the condition”. If you need a legal assessment, an independent advice service is the right place for it.

Does acne inversa count as a disability?

There is no blanket answer, and it does not follow from the diagnosis. In Germany the responsible authority determines a degree of disability case by case; legal protection against disadvantage at work is likewise assessed case by case. This toolkit therefore deliberately does not predict a GdB and does not check entitlements — it links to the responsible official bodies.

Where are my entries stored?

In your browser, on this device. There is no account, no sign-in and no transfer to a server. What you type leaves the device only if you copy, print or download the summary yourself. “Delete all entries” removes everything immediately.

Is the summary a sick note or a medical certificate?

No. The summary contains only what you entered yourself. It is not a medical report, not a certificate, not a legal assessment and not a statement about your fitness for work. Only a doctor can issue a certificate of incapacity for work.

How many days should I record?

There is no right number, and the toolkit does not grade the number either. Many people find it easier to put the problem into words after just two or three entries. Record only what you actually need for a conversation — it is not evidence anyone is requiring from you.

Evidence and editorial review

Last editorially reviewed: · Next review:

Statements about working with hidradenitis suppurativa draw on published research; everything about German procedures comes from the responsible official bodies and is linked below.

Legal conditions change. We reproduce them here for orientation only and point to the responsible authority for the binding version. The external links are checked quarterly.

Our editorial policy

Sources

  1. Schneider-Burrus S. et al. The impact of hidradenitis suppurativa on professional life British Journal of Dermatology, 2023 — German multicentre study of work ability and productivity in HS.
  2. Federal Anti-Discrimination Agency: disability and chronic illness Official information on when a chronic illness may be treated in law like a disability in working life.
  3. gesund.bund.de: rights of people with severe disabilities The federal health portal on degree of disability, severe disability status and the application route.
  4. Federal Employment Agency: Gleichstellung Purpose and basic conditions of equal status with severely disabled people.
  5. BMAS: occupational integration management The Federal Ministry of Labour and Social Affairs on the BEM process under § 167(2) SGB IX.
  6. gesund.bund.de: phased return to work Official description of a phased return to work after a longer period of incapacity.
  7. Supplementary Independent Participation Counselling (EUTB) A nationwide network of free, independent counselling services funded by the BMAS.