Snapshot A 35-year-old man presents to his dermatologist for further management of his skin disease. He has multiple abscesses arranged in a honeycomb pattern and draining serous fluid in his bilateral axilla. He has significant scarring in his inguinal area as well. He has tried several weeks of antibiotics and several courses of immunosuppressants with minimal effect. Due to the extensive scarring and non-responsiveness to medical management, he is referred for surgical debridement. Introduction Clinical definition login to view 2 more bullets Epidemiology Incidence login to view 1 more bullet Demographics login to view 3 more bullets Risk factors login to view 8 more bullets Etiology Plugged apocrine gland or hair follicle Pathogenesis login to view 7 more bullets Presentation Symptoms login to view 2 more bullets Physical exam login to view 6 more bullets Studies Labs login to view 1 more bullet Diagnostic criteria login to view 3 more bullets Differential Folliculitis Vasculitis Acne vulgaris Treatment Conservative login to view 6 more bullets Medical login to view 22 more bullets Operative login to view 3 more bullets Complications Scarring and fibrosis login to view 2 more bullets Poor quality of life and psychologic burden Secondary superinfection Prognosis Chronic disease with recurrence Prognostic variable login to view 3 more bullets