Occipital Hidradenitis Suppurativa with Secondary Myiasis and Ulceration: A Rare Presentation

Dr. P Rama Maheshwari, Dr. K Sai Sanath

Abstract: Introduction: Hidradenitis suppurativa (HS) remains an under-recognized chronic inflammatory disorder with a recurrent and often debilitating course, manifesting most commonly in apocrine gland-bearing regions but, in rare presentations, extending to atypical sites such as the occipital scalp. In my view, this case report of a 33-year-old male with a long-standing, maggot-infested ulcerative lesion of the scalp underscores the disease?s complex pathology and the potential for severe tissue destruction when diagnosis and intervention are delayed. The detailed account not only traces the clinical journey from presentation to surgical excision but also places it within the broader therapeutic spectrum ranging from topical agents and systemic antibiotics to biologics, hormonal modulation, and advanced surgical approaches. It is evident that HS management demands an integrative strategy that addresses both physical and psychological dimensions, given its profound influence on patient quality of life. This suggests that timely detection, patient-specific treatment planning, and vigilant follow-up can substantially reduce the risk of serious complications, including malignant transformation in chronic cases. The discussion also draws on established research to highlight the roles of lifestyle modification, targeted pharmacotherapy, and post-operative care, making this report a meaningful contribution to the nuanced understanding of HS in uncommon anatomical locations.

Keywords: hidradenitis suppurativa, scalp ulcer, chronic inflammation, surgical excision, case report

How to Cite?: Dr. P Rama Maheshwari, Dr. K Sai Sanath, "Occipital Hidradenitis Suppurativa with Secondary Myiasis and Ulceration: A Rare Presentation", Volume 14 Issue 8, August 2025, International Journal of Science and Research (IJSR), Pages: 516-518, https://www.ijsr.net/getabstract.php?paperid=SR25809164538, DOI: https://dx.doi.org/10.21275/SR25809164538