Boil-like lesions and depression plague a patient

What steps would you take to diagnose and treat this patient and her longstanding issue?

Chelsea, a 26-year-old female, presents to a dermatology clinic with acne vulgaris.

Hidradenitis suppurativa occurs more frequently in females than males. Photo: Alamy

She reports acne since the age of 14, for which she has previously used benzoyl peroxide and the combined oral contraceptive pill. There is no family history of dermatological conditions.

Chelsea also mentions that she has ‘boil-like’ lesions on