Stress: Stress increases sweating. This can worsen the symptoms. Heat and humidity: They increase sweating, which can worsen symptoms.
Valentina Dini, Teresa Oranges, Luca Rotella and Marco Romanelli, Hidradenitis Suppurativa and Wound Management, The International Journal of Lower Extremity Wounds, 10.1177
Obesity leads to greater intertriginous surface area and skin friction, increased sweat production and retention, and hormonal changes leading to relative androgen excess,