HS Explained: Your Questions, A Dermatologists Answers | HS isn’t “just boils.” It’s a chronic autoinflammatory disease that often begins in the teens or 20s and affects sensitive areas of the body. We sit down with double board-certified dermatologist and Mohs surgeon Dr. Harrison Wen to explain what HS is, why it’s frequently misdiagnosed, and how recognizing it early can change the course of the disease.We break down the immune and hormonal drivers behind HS, what progression looks like, and where treatments like biologics fit into care. From medical therapy to lifestyle strategies that support long-term management, this episode offers practical guidance for reducing flares, preventing scarring, and protecting quality of life.