Hidradenitis Suppurativa is a skin disease that presents as tender red bumps, nodules, cysts, and boils in the armpits, inner thighs, groin, buttock, and under the breasts.  It is more commonly seen in overweight or obese patients.  It is a condition first characterized by a deep clogging of the follicle which then becomes secondarily infected, forming painful cystic lesions and boils. Other skin findings may include groups of chronic abscesses and some scarring.  Treatment options include drainage of boils, warm compresses, weight loss, topical or oral antibiotics, steroid injections, surgical removal, and intravenous anti-inflammatory medications such as infliximab.

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