AKT-1361

A 36-year-old woman presents with a 3-year history of recurrent painful pustules and nodules in both axillae. She frequently goes to the gym and initially attributed her symptoms to deodorant use, although there have been no signs of improvement since stopping these.

She doesn’t take any regular medication and is allergic to macrolides.

Upon examination, there are numerous lesions in both axillae consisting of pustules and nodules, as well as sinus tract formation. Mild scarring is also evident.

What is the most suitable course of treatment?