Hidradenitis suppurativa presenting as genital “kissing lesions”

Background: Hidradenitis suppurativa (HS), a component of the follicular occlusion triad, is a chronic inflammatory condition of the terminal hair follicle that has a predilection for the apocrine gland–bearing areas, including the axillary, inguinal, and anogenital regions. An infectious component has been suspected in the condition, but it is challenging to prove a pathologic component as bacteria can grow without presence of infection. "Kissing lesions" are lesions that appear on opposing surfaces that come into contact, and they typically signify transfer of an infectious agent such as sexually transmitted infections, including chancres seen in primary syphilis.

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