
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.
Expert dermatologists examine the burden of hidradenitis suppurativa, including how draining tunnels affect disease severity, quality of life, and treatment response, and discuss how emerging evidence can guide earlier treatment decisions, individualized goals, and long-term outcomes.

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.

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.