Section Summary

  • A single physical examination may substantially underestimate fluctuating HS.
  • A concise longitudinal history should cover recurrence, locations, drainage, pain, function, and prior treatment response.
  • Patient-reported burden can change the interpretation of an apparently limited examination.
  • Sensitive, nonjudgmental language improves disclosure and helps repair mistrust created by prior dismissive care.
  • Validated patient-reported measures can support consistent follow-up but do not replace a focused conversation.
Key Takeaway: The examination shows what HS looks like today. The patient’s history shows what HS is doing over time and what it is doing to the patient.


This content is sponsored but developed independently with Steven Daveluy, MD, Dermatologist.