A 28-year-old woman with a 5-year history of recurrent painful nodules and abscesses in the axilla and groin presents with multiple purulent draining lesions. On examination, you identify interconnected tunneling pathways beneath the skin surface connecting separate abscess cavities. The structure marked **B** in the diagram represents these bridging lesions. Which of the following best describes the pathophysiologic mechanism underlying the formation of these structures in hidradenitis suppurativa?
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