Clinical Challenge: Painful Cysts Affecting Armpit, Groin, and Upper Thighs

The patient is a 34-year-old African American male who gives a 10-year history of painful cysts affecting his axillae, groin and upper thighs. He is moderately obese and smokes cigarettes. Prior therapies have included topical and oral antibiotics, a six-month course of isotretinoin, and incision and drainage of acute lesions. Examination of the affected areas reveal tender abscesses several of ...