Hidradenitis suppurativa is a chronic, recurrent inflammatory disorder of the hair follicles that affects apocrine gland bearing sites, such as the axillae and inguinal and perianal areas. Hidradenitis suppurativa is uncommon in children, with onset generally occurring well after puberty, typically between 20 and 24 years of age. We present an 8-year-old girl whose lesions commenced at the age of 6 years as painful nodules in the buttock. There was no family history of hidradenitis suppurativa or severe acne. Examination revealed few erythematous papules, nodules, and atrophic scars in the buttock. Axillary lesion was absent. She had not attained menarche and the breasts and pubic hair were Tanner stage 1. No evidence of androgen excess was noted on physical examination. A skin biopsy showed superficial dermal perivascular lymphocytic infiltration and presence of acute inflammation of apocrine glands. After the exclusion of bacterial and mycotic infections, a diagnosis of hidradenitis suppurativa was made based on the characteristic clinical presentation and the skin biopsy result. The patient had previously been treated with oral and topical antibiotics for intermittent periods with no improvement. She was treated oral roxithromycin (2.5 mg/kg/day) which marked improvement was noted after 4 weeks, and 2 months later she was in complete remission. Herein, we report a rare case of hidradenitis suppurativa in pediatric.