The magnitude of the social, economic, and medical problems confronting patients with chronic suppurative axillary hidradenitis is not generally recognized. Nonoperative treatment is disappointing. Total excision of all apocrine-bearing axillary tissue with primary closure is the treatment of choice. Operative treatment can be safely accomplished even when draining sinuses are present. Twenty-six patients representing 47 operated axillae are presented.
Anderson DK, Perry AW. Axillary Hidradenitis. Arch Surg. 1975;110(1):69-72. doi:10.1001/archsurg.1975.01360070069012