“With hidradenitis, we now consider it to be a disease of the hair follicles. So just like any other disease process, an ounce of prevention is always worth a pound of cure. So HS typically appears on body folds. Underarms are probably the number one area. They can also occur on groin folds as well, sometimes the upper inner thighs, between the buttocks area, underneath the breasts in women as well, sometimes in the back of the neck. Severe cases, you can get it on the genital area.
The fact is that there are a few things that can mimic HS. Many times patients do confuse their symptoms for another disease. And it is almost like a bad acne, something called a blackhead or a comedone.
One thing that can mimic early hidradenitis is something called boils. Because hidradenitis affects the younger population, they may not, of course, have the medical awareness to know that hey, this can represent something more than just a cyst or a boil or something that’s going to go away.” Roopal Bhatt, MD – U.S. Dermatology Partners Four Points and Mueller