Q. A 46-year-old man presents to the primary care clinic for recurrent painful skin lesions which he has been suffering from the past year. He reports having painful, swollen lumps under his armpits that sometimes rupture, releasing a foul-smelling fluid. He mentions that these lumps have been appearing intermittently, often leaving scarred and pitted skin. He has no history of diabetes or hypertension. He has been a smoker for the past 20 years and a non-alcoholic. His vitals are stable. On examination, many deep-seated inflamed nodules, few abscesses, sinus tracts, and old fibrotic scars are present in both axillae. Which of the following statements is true about this disease?