Body system
Hidradenitis suppurativa on Black skin
Key cue: Recurring painful deep bumps in armpits, groin, buttocks, or under breasts, not just 'boils' or 'acne'. Black women have 2-3× the severity and average 7-10 years to diagnosis.
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Key cue: Single 'herald patch' followed in 1-2 weeks by many smaller oval lesions in a Christmas-tree distribution on the trunk. On Black skin, lesions are hyperpigmented or violaceous rather than pink-salmon.
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