Abstract
A 54-year-old man with a 25-year history of Hurley stage III hidradenitis suppurativa (HS) and inflammatory arthritis presented to the emergency department with worsening groin lesions with increasing pain and drainage. His treatment for HS and arthritis included 40-mg adalimumab weekly and 17.5-mg methotrexate weekly for 5 years. He had not seen a dermatologist in 2 years. His prescriptions were filled by another provider. On physical examination, the patient appeared cachectic. He was both tachycardic and tachypneic.
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