RECURRENT ACUTE HIDRADENITIS SUPPURATIVA: CASE REPORT WITH 12 MONTH FOLLOW UP.

Hidradenitis suppurativa usually occurs in otherwise healthy adolescents and adults. It rarely may begin before puberty. In a significant number of cases, no explanation exists. This case report documents one patient with a clear pattern of recurrent acute hidradenitis suppurativa and no identifiable cause despite great effort. After 8 months of recurrent symptoms, she was found to have marked elevation of white blood cell and erythrocyte sedimentation rate. The onset of hidradenitis suppurativa is insidious, with the earliest sign being erythema and may present with variable clinical features. Therefore, it is important to approach hidradenitis suppurativa as a systemic disease with an interprofessional team.