Hidradenitis Suppurativa

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Abstract
HIDRADENITIS suppurativa is a chronic, recurrent, indolent, suppurative infection of the apocrine glands of the axillae, areolae of the breast, inguinal regions, external genitalia, and perianal areas. The early lesion resembles a furuncle without a necrotic core. Later in the disease, subcutaneous abscesses, fistulas, intercommunicating sinus tracts, and irregular hypertrophic scarring are seen. The loose areolar tissue present in the involved sites facilitates the burrowing characteristic of the disease. This disease occurs equally in both sexes at or after puberty. Menstrual and premenstrual exacerbations have been reported.1 Axillary involvement is more common in females; the perianal involvement is more frequent in males. One in six patients with axillary involvement has perianal lesions; however, only one in 13 cases of this disease has only perianal involvements.2 Brunsting3 emphasized the association of hidradenitis suppurativa with acne conglobata and dissecting cellulitis of the neck and scalp. He pointed out that

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