Ali Shahbaz, MD, FAAD, FRCPC

Follicular occlusion, anaerobic biofilm, and innate immune activation combine to drive tissue destruction. The panel explains why tunnels sustain inflammation and mark the transition from acute disease to irreversible scarring.

Delayed recognition of HS costs patients time, tissue, and quality of life. The panel examines why episodic flares and atypical presentations are missed and the shame and isolation that follow.