I'm going to run against the grain on this one.
The damage to this O looks like scratches/dents/dings from tank decor, O can be incredibly clumsy, particularly if they get freaked out.
I DO NOT think this is HITH/HLLE.
However, IF it was HITH/HLLE I would have this to say...
Number One HITH/HLLE Treatment (IMHO)
HITH/HLLE
(1)Water Quality
Get your water quality/chemistry perfect, NH3-0, NO2-0, NO3- 0/20ppm,
check your filters & clean'em if necessary (reduces alot of NO3), gravel vac & PWC, do small PWC's (10%) every other day.
Just about everyone will agree that bad water chemistry and HITH go together like apple pie -n- ice cream...
(2)Diet
Feed a well balanced and varied diet* (See below).
(3)Vitamin Supplements
Add liquid vitamin supplements to all food and vary their diet.
Soak or load everything you feed the fish with vitamins until cured and watch your water.
Vitamins that you add to your tanks water are worthless (IMO).
We use "Vita Chem", our fish get it regularly.
This particular brand is available at most on-line retailers and at better LFS's (We get ours at BigAls).
http://www.bigalsonline.com/catalog/product.xml?product_id=27489;category_id=3781;pcid1=2911;pcid2=
(4) Supplementary treatment.
I would add a dose of salt to the tank, this helps lower stress, encourages slime-coat production and gill function amongst other things.
Also a dose of Melafix and Pimafix, these have been known to help healing.
(5)
Medicate,
Alot of folks blame Hexamita for HITH and thus treat for it with medications, BUT, studies have been done showing that Hex (and others) is/are a secondary infection/s (Whether or not Hexamita plays a key-role with HITH infections is controversial).
You need to do what "You" feel is right and correct after reseaching this for yourself, google "HITH causes prevention and cure" or some such, and visit Cichlid specific forums for more info.
Some folks also think that filter carbon plays a role with HITH...
It seems there are no absolutes as to the cause, but just like ICH there are many ways to treat it and proponenets/opponents of each treatment.
I say again though...
Perfect water quality and a varied nutritious diet supplemented with vitamins.
Here's a good article on HITH available here at Oscarfish,
http://www.oscarfish.com/cms_view_article.php?aid=3
DIET
A quality cichlid pellet or stick should make up 75-80% of your O's diet.
These are my primary foods...
Pellets, Carnivore sticks, freezedried krill, algae wafers, fresh nightcrawlers, fresh/freezedried earthworm (Any worms are great foods!), fresh crickets, fresh mealworms, almost any insect I catch (Insects from outside do pose a risk of insecticides which can harm your fish, be careful.).
I feed or have fed my O all of these foods...
Raw/cooked shrimp, small bits of raw cut fish, beefheart or liver, bitesize bits of veggies (zucchini, carrot, shelled peas, shelled corn and etc...), small tree/grass frogs (NO toads, and know which frog species your feeding as some can be toxic too.) and properly quarantined or raised feeder fish, these should be fed sparingly and rotated as snacks or dessert.
Do not feed unquarantined feeder fish from LFS/LPS, do not feed mammilian flesh (Animal fats from mammals and fowl are very bad for most fish).
I supplement his nutrition by soaking his pellets 4-5 times a week in a liquid vitamin.
I use Vita-Chem, available at some LFS's and on-line retailers, I get mine at BigAl's,
http://www.bigalsonline.com/catalog/product.xml?product_id=27487;category_id=3781;pcid1=2911;pcid2=
Alot of different types and brands are used, Liquid Centrum for example, but you could reasonably use any quality L. vitamin.