MediAI

  Keywords: Hidradenitis Suppurativa, MRI imaging, chronic inflammatory skin disease, diagnostic imaging, differential diagnosis, treatment strategies, prognosis Abstract Hidradenitis Suppurativa (HS) is a debilitating, chronic, and recurrent inflammatory skin disease characterized by painful nodules, abscess formation, sinus tract development, and irreversible scarring. While commonly affecting intertriginous areas such as the axillae and groin, atypical involvement of the nape of the neck remains exceedingly rare and often leads to delayed diagnosis. This comprehensive review integrates a real clinical case of nape Hidradenitis Suppurativa with cutting-edge literature, advanced MRI imaging findings, and evidence-based treatment strategies. We provide an in-depth discussion of the pathophysiology, epidemiology, clinical manifestations, imaging characteristics, differential diagnosis, diagnostic workflow, therapeutic interventions, and prognosis , supplemented by detailed MRI ...