Hidradenitis suppurativa can affect one spot or multiple areas of the body. Signs and symptoms of hidradenitis suppurativa include: 1  Blackheads. Small pitted areas of skin containing blackheads â often appearing in pairs or a double-barreled pattern â are a common feature.  Red, tender bumps. These bumps often enlarge, break open and drain pus.
Sebum is an oily substance that's secreted by sebaceous glands to keep skin moisturized. Too much leads to oily skin and too little leads to dry skin. Sebum is an oily substance that's secreted by sebaceous glands to keep skin moisturized.
Sometimes the wall of the pore opens, allowing sebum, bacteria, and dead skin cells to make their way under the skin â and you're left with a small, red bump called a pimple (sometimes pimples have a pus-filled top from the body's reaction to the bacterial infection).