Great question — and one that doesn't get talked about enough! Multiloculated (divided into multiple pockets or chambers) HS lesions are a result of how the condition progresses beneath the skin.
Here's what's happening under the surface:
- Blocked hair follicles become inflamed and rupture, spreading inflammation to Show Full Answer
Great question — and one that doesn't get talked about enough! Multiloculated (divided into multiple pockets or chambers) HS lesions are a result of how the condition progresses beneath the skin.
Here's what's happening under the surface:
- Blocked hair follicles become inflamed and rupture, spreading inflammation to surrounding tissue
- Tunnels (sinus tracts) form under the skin, connecting clusters of lesions together
- As these tunnels branch out, they create separate pockets of pus and fluid, giving the lesion that divided, multiloculated appearance
- Repeated flares in the same area cause scarring and new pocket formation, making the structure more complex over time
This is also why simply lancing (draining) an HS lesion often doesn't fully resolve it — the underlying tunnel network and inflammation remain, and the lesion tends to return.
Seeing a dermatologist experienced with HS is really important here, as they can assess the extent of tunneling and recommend treatments beyond just drainage, such as medications or surgical options tailored to your specific situation.
May 15
I don't know why exactly, but many boils will tunnel underneath your skin making matters worse.
May 16
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