Image of the Week: Painful lesions in the armpits

A 27-year-old man presents with painful lesions in both armpits. He has experienced several worsening episodes similar to this one since he was a teenager, and he is becoming increasingly distressed by them. His most recent episode resolved 3 months earlier. On examination, deep-seated inflamed nodules with purulent discharge and thick, rope-like scars are visible in the axillae. Nodules and ...