Hidradenitis suppurativa of scrotum and perineum.

Well-formed hidradenitis suppurative is extremely resistant to conservative manageniek and at the same time can become incapacitating to the patient. Radical surgical excision ofthe diseased area and resurfacing can bring about rapid and dramatic improvement in such patients. Two severe cases of hfdradenitis of the perineal region are presented. Apocrinitis or hidradenitis is an inflammatory condition affecting the apocrine sweat glands. These tuboalveolar glands are normally found in the axilla, groin, perineum, and genital areas. Conway et al. l divided infections of the apocrine gland into two stages. First the early stage, when infection occurs as a bead of pus at the summit of the infected gland; and second a chronic stage, in which there are numerous interconnecting, deep, and tortuous sinus tracts. This latter stage is characterized by a brawny induration of the skin and numerous discharging sinuses.