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Question 1 of 3
Image of Hurley Stage I under the breasts

A 31-year-old female patient presented with abscesses and double comedones under the breasts. The patient reported some itching and discomfort due to the recurring abscesses and mentioned foul smelling discharge. Additionally, the patient spoke about an aunt who experienced similar symptoms.

Image of Hurley Stage I under the breasts

A 31-year-old female patient presented with multiple abscesses and double comedones under the breasts. The patient reported some itching and discomfort due to the recurring abscesses and mentioned foul smelling discharge when abscesses were surgically drained a few years ago. Additionally, the patient spoke about an aunt who experienced similar symptoms.

Correct!

The answer is HS.

In addition to the characteristic type (double comedones) and location (inframammary), recurrence of the patient's lesions (having lesions surgically drained in the past) as well as the potential family history of HS point to a diagnosis of HS.

Image of Hurley Stage I under the breasts

A 31-year-old female patient presented with multiple abscesses and double comedones under the breasts. The patient reported some itching and discomfort due to the recurring abscesses and mentioned foul smelling discharge when abscesses were surgically drained a few years ago. Additionally, the patient spoke about an aunt who experienced similar symptoms.

Incorrect!

The answer is HS.

In addition to the characteristic type (double comedones) and location (inframammary), recurrence of the patient's lesions (having lesions surgically drained in the past) as well as the potential family history of HS point to a diagnosis of HS.

Question 2 of 3
Image of multiple nodules on the abdominal area

A 23-year-old female patient presented with recently formed multiple nodules on the abdominal and pubic areas. Purulent drainage was observed discharging from the nodules. The patient was also experiencing chills and running a high fever during the visit.

A 23-year-old female patient presented with recently formed multiple nodules on the abdominal and pubic areas. Purulent drainage was observed discharging from the nodules. The patient was also experiencing chills and running a high fever during the visit.

Image of multiple nodules on the abdominal area

A 23-year-old female patient presented with recently formed multiple nodules on the abdominal and pubic areas. Purulent drainage was observed discharging from the nodules. The patient was also experiencing chills and running a high fever during the visit.

Correct!

The answer is carbuncles.

Fever is a symptom of carbuncles and indicative of infection. Although infection can occur secondarily with HS, HS is not caused by an infection, and fever rarely occurs with HS. Also, HS is a chronic inflammatory disease. The recent appearance of these lesions suggests that the condition is probably not HS.

Image of multiple nodules on the abdominal area

A 23-year-old female patient presented with recently formed multiple nodules on the abdominal and pubic areas. Purulent drainage was observed discharging from the nodules. The patient was also experiencing chills and running a high fever during the visit.

Incorrect!

The answer is carbuncles.

Fever is a symptom of carbuncles and indicative of infection. Although infection can occur secondarily with HS, HS is not caused by an infection, and fever rarely occurs with HS. Also, HS is a chronic inflammatory disease. The recent appearance of these lesions suggest that the condition is probably not HS.

Question 3 of 3
Image of Hurley Stage III on the buttocks.

A 44-year-old male patient presented with extreme pain on the buttocks, and sitting became nearly impossible. The patient had previously noticed the “sores” and was prescribed antibiotics, but delayed seeking a dermatology visit due to embarrassment and as the appearance and pain would somewhat subside at times. A physical exam revealed multiple fistulas with extensive scarring.

Image of Hurley Stage III on the buttocks.

A 44-year-old male patient presented with extreme pain on the buttocks, and sitting became nearly impossible. The patient had previously noticed the “sores” and was prescribed antibiotics, but delayed seeking a dermatology visit due to embarrassment and as the appearance and pain would somewhat subside at times. A physical exam revealed multiple fistulas with extensive scarring.

Correct!

The answer is HS.

Scarring and recurrence are indicative of HS, and the extensive nature of the scarring signals a progression to severe disease. Previous antibiotic therapy suggests the chronicity of a condition like HS. However, as is often the case, the patient was embarrassed and thought the symptoms would eventually resolve, leading to a delay in seeking specialized help.

Image of Hurley Stage III on the buttocks.

A 44-year-old male patient presented with extreme pain on the buttocks, and sitting became nearly impossible. The patient had previously noticed the “sores” and was prescribed antibiotics, but delayed seeking a dermatology visit due to embarrassment and as the appearance and pain would somewhat subside at times. A physical exam revealed multiple fistulas with extensive scarring.

Incorrect!

The answer is HS.

Scarring and recurrence are indicative of HS, and the extensive nature of the scarring signals a progression to severe disease. Previous antibiotic therapy suggests the chronicity of a condition like HS. However, as is often the case, the patient was embarrassed and thought the symptoms would eventually resolve, leading to a delay in seeking specialized help.

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