Abstract
A 40-year-old African-American woman with a documented history of hidradenitis suppurativa presented with hoarseness, dysphagia, and cough productive of blood and skin for 2 weeks. She describes a 12-year history of throat pain followed by vegetative plaques to the bilateral axilla (Fig 1) for which she had frequented the emergency department for pain management. Previous treatments include surgical excision, bleach baths, and antibiotics with minimal improvement. Trials of prednisone had intermittently alleviated her symptoms.
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