11^th Global Healthcare and Fitness Summit

A 26 week G1 P0 36 year old AA woman with a 30 year history of hidradenitis suppurativa (HS) presented with lesions in her axilla, groin and breasts. Her condition was recalcitrant to steroid injections, TNF blocker, antibiotics and incision and drainage. On this presentation, she had numerous active, infected large interconnected lesions in her right breast. The decision was made to perform total excision of the infected area in the right breast. She underwent primary closure of the wound one week after excision. She is currently 39 weeks pregnant and has done well since the excision without recurrence in her breast or anywhere else in her body. In this patient, definitive but conservative pre-partum treatment was necessary to avoid milk fistula or chronic abscess formation, as the patient's desire was successful postpartum lactation. Our approach was successful.