Question special

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

This case is brought to you by VisualDx. Take the poll or respond below. Answer and explanation will be posted on Monday.