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Hidradenitis suppurativa: A disease of apocrine gland physiology

H idradenitis suppurativa is a disease affecting the apocrine sweat glands that often results in chronically draining sinus tracks and wounds. Over time, the affected areas become scarred and can be afflicted by contracture or tissue immobility. Physician assistants should possess the knowledge required to diagnose this condition, to initiate conservative medical treatments, and to judge when such management has reached its limitations and a surgical referral is necessary.