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but aggressive HS. It is interesting that our patient, despite the severity of disease and the area of involvement, did not show a severe quality of life impairment, highlighting the differences of psychosocial impact among patients also according to age of onset and disease duration, sex, and personal character. Finally, we share the view of the authors about the importance of early detection, a collaborative approach between dermatologists and surgeons, and management of this critical condition at early stages. We thank the Editor of IJD and the authors for this article, who have the potential of inciting debate on what are evidently important issues. There are no funding sources that supported the work; this article has no funding source.