Suppurative hidradenitis is a recurrent disease involving apocrine gland of skin with a predilection for intertriginous areas, including genital skin. It has a highly variable clinical course. Mild cases may present as recurrent isolated nodules, while severe instances of the disease with chronic inflammation may lead to abscesses , scarring, and rarely, squamous cell carcinoma. While genetic factors, hormones and infection play a role in disease expression, a comprehensive understanding of the pathogenesis remains to be elicited. Additionally, effective treatment is largely unknown. The mainstay of therapy had been surgery, and topical or systemic antimicrobial agents. We report a 65 years old diabetic man who had a long history of untreated suppurative hidradenitis with extensive gluteal area involvement. We search in pubmed and find 7 cases of suppurative hidradenitis with diabetes.

Keywords: Suppurative hidradenitis, Diabetes, Abscess

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