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Hidradenitis-suppurativa

34yo Male. Multiple previous issues with large outbreaks, however most don't grow to that size. PT's wife has begun removing any blackheads that appear in outbreak areas. Advised loose clothing, wash with abx soap, weight loss, but despite doing all this, there seems to be no relief. Any other thoughts that might help him?

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20 y/o male with recurring outbreaks of atopic dermatitis. T/x with Betamethasone shows some level of relief. Patient came for a checkup at Derm clinic, no current outbreak, sent in the attached pictures that he took during a recent outbreak as per the request of the treating physician.