Abstract Hidradenitis suppurativa (HS) is a chronic, inflammatory follicular cutaneous disease characterized by recurrent skin nodules, sinus tracts and scarring affecting mainly the axilla, groin, and other parts of the body that contain apocrine glands. We report a rare case of HS in a 29 years lady, who presented with a large swelling, insidious in onset, progressive in nature and measuring approximately 25 x 25 cm in the pubic region along with multiple small lesions, scarring and sinuses in axillae and groins for 6 months duration. The lesions were also associated with offensive discharge. The swelling was excised under general anesthesia. The diagnosis was confirmed by histopathologic examination. The postoperative period was uneventful and she is doing well on follow-up.
Keywords: Hidradenitis Suppurativa; Pilosebaceous Unit; Sinuses; Abscesses; Excision