A 27-year-old male presents with painful skin lesions in both armpits. He’s experienced several worsening episodes similar to this one since he was a teenager and is becoming increasingly distressed by them. His most recent episode resolved three months earlier.
On examination, deep-seated inflamed nodules with purulent discharge and thick, rope-like scars are visible in the axillae. Nodules and pitted scarring are also present in the groin and perianal region.