Abscess may need surgical approach

In this disorder there is a structural problem between the secretory and excretory functions of the apocrine glands with abscess rupture under the skin and deep scarring and sinus formation.

Fibrous bands can form as shown in the above case. Medical therapy includes long-term antibiotics with clindamycin and metronidazole and oral isotretinoin if the patient also has cystic acne.

Some of the newer biologic TNF alpha inhibitors have been successful in treating this condition but many cases are best managed by early surgical referral to excise the involved area with a good

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