Abstract: | A case history of a 34-year-old white woman with recurrent inflammatory lesions involving the inguinal areas bilaterally is presented. Salient points of diagnosis, pathophysiology, and differential diagnosis are discussed. In this patient, steroid injections, incision and drainage, and topical and systemic antibiotics were unsuccessful, and a modified vulvectomy with inguinal skin resection was performed. An historic review of hidradenitis suppurativa is presented, and current options of management are discussed. |