Many are unaware they have H.S., a skin disease that starts as small red bumps, blackheads, or boils.
Left untreated, it progresses into painful lumps that drain foul-smelling fluid, leading to infections, scarring, and tunnel tracts under the skin.
H.S. usually appears where skin rubs together, like the groin, armpits, or under the breasts, but it can occur anywhere. The recurring bumps are painful and worsen over time, causing significant physical and emotional challenges.
Early treatment by a dermatologist can reduce flare-ups, slow progression, and improve quality of life. We understand it may feel embarrassing, but we are here to help without judgment—because you deserve care.
Let’s take a look at conditions that H.S. can be confused with.
Folliculitis
Folliculitis is a common condition where hair follicles become inflamed due to bacteria, fungi, or irritation. It often appears as small, red bumps that look like pimples and is usually mild and treatable.
How It Differs From H.S.
While folliculitis affects the surface of the skin, H.S. forms deeper, clustered lumps that are more painful and often result in scarring.
Acne Vulgaris
Acne is a common skin condition involving pimples, blackheads, and whiteheads. It often appears on the face, chest, and back and ranges from mild to severe.
How It Differs From H.S.
H.S. lesions are deeper, larger, and more painful than acne. H.S. also typically appears in areas where skin rubs together, rather than on the face or upper back.
Cysts
Cysts are smooth, round or oval lumps under the skin that form due to blocked glands or other causes. They’re usually singular and firm to the touch.
How It Differs From H.S.
Unlike cysts, H.S. lesions are clustered, more painful, and drain foul-smelling fluid. H.S. also appears in areas of friction, unlike most cysts.
Boils
Boils are painful, red, swollen lumps caused by infected hair follicles. They often form a white or yellow “head” at the center as pus accumulates.
How It Differs From H.S.
Boils are usually isolated, whereas H.S. lesions cluster and form tunnel tracts. H.S. discharge also has a foul odor, unlike boils.
Ingrown Hairs
Ingrown hairs occur when hair grows back into the skin, causing small, raised bumps that can become red or inflamed.
How It Differs From H.S.
H.S. lesions are larger, clustered, and more painful. Ingrown hairs usually have a visible trapped hair, while H.S. does not.
Conclusion
Hidradenitis Suppurativa can easily be confused with other conditions due to its appearance, but its deeper, clustered, and recurring nature sets it apart. Early diagnosis and treatment are crucial for managing symptoms and improving quality of life.
