Hidradenitis suppurativa (HS) is a chronic relapsing inflammatory skin disorder affecting apocrine gland–bearing areas such as the axillae, inguinal regions, and anogenital area.1 It manifests with painful nodules, abscesses, sinus tract formation, and scarring.2 The disease strongly impacts patients’ quality of life due to pain, malodor, and psychosocial burden.3 The exact etiology of HS is multifactorial, involving genetic predisposition, mechanical stress, hormonal influences, dysbiosis,...