Hidradenitis in Pediatrics.

Pediatric hidradenitis suppurativa is a chronic relapsing skin disease that peaks in adolescence and is often misdiagnosed. Clinical diagnosis is made by identifying recurrent, painful nodules in flexural sites that have risk of tunneling and scarring. Initiate education, gentle skin care, and topical therapy while adding age-appropriate oral antibiotics when indicated. Screen for comorbidities and refer early to dermatology for medical management as well as procedural and biological treatments.