This is not hidradenitis suppurativa! This man had this condition for 5 years before seeing us. We performed a radical debridedment and found that there was pyomyositis. In addition, pus tracked under the inguinal ligament into the pelvis-probably necrotic lymph nodes. After the debridement, simple dressing changes with honey cleared all the infection. He will be skin grafted in November. By the way, the same procedure was necessary on his right buttocks.