Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following conditions indicates chronic scarring affecting apocrine glands?

1. Scabies

2. Pityriasis rosea

3. Atopic dermatitis

4. Hidradenitis suppurativa

The correct answer is: Hidradenitis suppurativa

Hidradenitis suppurativa is recognized as a chronic inflammatory skin condition that particularly affects the apocrine glands. This condition is characterized by the formation of painful nodules, abscesses, and sinus tracts, primarily in areas such as the axillae, groin, and perineum, where apocrine glands are concentrated. The chronic nature of hidradenitis suppurativa leads to recurring flare-ups and, over time, results in significant scarring and tissue damage, which can manifest as tender lumps and open sores that may cause discomfort and distress to patients. The involvement of apocrine glands and the resultant scarring are distinguishing features that set hidradenitis suppurativa apart from other skin conditions. In contrast, scabies is a parasitic infestation that primarily causes itching and does not directly involve the apocrine glands or lead to chronic scarring. Pityriasis rosea is a self-limiting rash often characterized by a herald patch and does not have a chronic scarring component or specific association with apocrine glands. Atopic dermatitis is an eczema type condition associated with pruritus and inflammation, primarily impacting the epidermis rather than apocrine glands, and while it can lead to