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Hidradenitis Suppuritiva occurs when a plug of dead skin in the apocrine sweat gland’s duct initiates an infectious process as bacteria multiply within the plugged gland. The obstructed gland ruptures into the deep layers of the skin; adjacent glands become involved; and abscesses form. Subsequently, multiple draining sinuses or holes appear on the skin surface and the whole hairbearing area may become inflamed.
The definitive treatment for chronic Hidradenitis Suppuritiva is complete surgical removal of the involved area and immediate wound closure preferably with local flaps of skin.