Problem: A 26-year-old woman comes to you with patchy scarring in the axillae. She says that she gets boils all the time and that she wants you to give her something to cure it. At this time, she has a cyst that is 2 cm in diameter, and it is not erythematous but is fluctuant. You can see evidence of multiple infections and cyst evacuations. She is desperate to be able to deal with this. Determine what you can do for her. She has hidradenitis suppurativa, a chronic condition of the sweat glands located in the axillae and the groin area. It is resistant to most medications, and it has nothing to do with not washing or attending hygiene. Evacuate the cyst, and give her a round of Septra antibiotics. She has signs of systemic lupus erythematosus. This chronic condition is exacerbated in sweat gland-containing areas. Evacuate the cyst, and give her a round of antibiotics; however, advise her that this comes and goes because it is auto-immune. This is ichthyosis. Skin cells shed in an accelerated fashion and are trapped in sebaceous glands. This is a chronic condition and is only treated with glucocorticoids. You evacuate the cyst and give