{"id":113,"date":"2026-06-18T14:48:00","date_gmt":"2026-06-18T14:48:00","guid":{"rendered":"https:\/\/www.comprehensivelaser.com\/blog\/?p=113"},"modified":"2026-06-10T18:23:00","modified_gmt":"2026-06-10T18:23:00","slug":"hidradenitis-suppurativa-vs-acne-how-to-tell-the-difference","status":"publish","type":"post","link":"https:\/\/www.comprehensivelaser.com\/blog\/hidradenitis-suppurativa-vs-acne-how-to-tell-the-difference\/","title":{"rendered":"Hidradenitis Suppurativa vs. Acne: How to Tell the Difference"},"content":{"rendered":"\n

Breakouts near the armpits, groin, or inner thighs that keep coming back, linger for weeks, and sometimes leave behind scars are not typical acne. For many people, those recurring lesions are the first sign of hidradenitis suppurativa (HS), a chronic inflammatory skin condition often mistaken for acne. The two may look similar on the surface, but treating one as the other can delay relief by years.<\/p>\n\n\n\n

The clinical team at Comprehensive Laser & Aesthetics in Columbia, MD works with patients dealing with both conditions. This blog breaks down the key differences and what they mean for your skin.<\/p>\n\n\n\n

What Is Hidradenitis Suppurativa?<\/h2>\n\n\n\n

HS is a chronic inflammatory condition affecting the hair follicles in areas where skin rubs together. It tends to develop in the armpits, groin, buttocks, under the breasts, and along the inner thighs. Unlike acne, HS is not simply a matter of clogged pores or surface bacteria. It involves the immune system, and flares can be influenced by hormones, weight, smoking, and genetics.<\/p>\n\n\n\n

Lesions often start as what looks like a deep pimple or boil, then can develop into painful tunnels under the skin called sinus tracts. Repeated flares in the same areas may lead to lasting scar tissue.<\/p>\n\n\n\n

Key Differences Between HS and Acne<\/h2>\n\n\n\n

Both conditions produce inflamed lesions, which is the root of the confusion. The distinctions, though, are fairly clear:<\/p>\n\n\n\n