How to recognise hidradenitis suppurativa

The pain, disfigurement and malodour that accompany this disease increase a patient's distress

Part one of this two-part series describes how to recognise hidradenitis suppurativa, a painful condition often mistaken for boils.

 hidradenitis suppurativa

Hidradenitis suppurativa (HS) is a chronic cutaneous inflammatory disease occurring primarily in the axilla, groin, perineal and inframammary regions.

Clinically, it is characterised by painful nodules and comedones, which evolve into deep-seated and often discharging abscesses. 

Eruption of these lesions results in a massive local inflammatory response, with possible sinus tract formation and