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A 20-year-old woman presents to the clinic with painful draining boils in her armpits and groin. She reports that she has had this problem for the last 5 years, but it has been worse this past year and she has had to visit urgent care four times. Currently, she has a painful boil that has burst and is now draining foul-smelling fluid from under her armpit. On exam, you see the photo above.

What is the diagnosis?
A. Impetigo
B. Pyoderma gangrenosum
C. Infected cyst
D. Hidradenitis suppurativa
E. Keloids

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