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Acne Keloidalis - Symptoms & Treatment

Acne Keloidalis occur because of inflammation of increasing hair of the back head and neck in to the skin or event of keloidlike papules and plaques on the posterior section of the neck and cause to scars tissues. It can occur to anybody but frequently have been seen in African-American-man and seldom reported in women and non-African American man. Firm, keloid-like papules, nodules, moreover pustules are the hallmarks of this illness. Acne keloidalis was initially recognized as a distinct entity in the late 1800s. Hebra was the initially to describe and document this stipulation in 1860, under the name sycosis framboesiformis. Afterward in 1869, Kaposi described this similar condition as dermatitis papillaris capillitii.

The word acne keloidalis was then given to this condition in 1872 by Bazin, and, ever since that time, this is the name most often used in the literature. Clinically, the lesions firstly manifest as mildly pruritic follicular-based papules and pustules on the nape of the neck. Because the folliculitis is persistent, finally keloidlike plaques eventuate. The area is typically bald, but broken hair shafts, tufted hairs, and ingrown hairs can sometimes be identified within and at the margins of the plaques. Over time, the plaques typically gradually expand. The lesions are disfiguring and can be painful.  Abscesses and sinus tracts with purulent discharge may grow in higher cases. Comedones are not a general feature of acne keloidalis nuchae.

Causes of Acne Keloidalis

Some causes & risk factors of Acne Keloidalis are as follows:

  • Regular use of antiepileptic drugs.
  • Irritation of shirt's collar regularly.
  • Systemic steroid therapy is cause of this illness.

Symptoms of Acne Keloidalis

Symptoms In the start, the explosion occurs in the area around the neck and little bumps appear which gives an itchy feeling. Sometimes the bumps are found around the hair follicles. The bumps after sometime turn into scars and then scars begin getting big and turn into Keloids.The scars often form patches alongside the hairline. The patches are usually smooth, hard and dark red in hue. They are usually bald except at its upper margin which looks like thousands of small nodules clustered around with hair.

  • One or several large plaques, which slowly enlarge for years.
  • Iitchy papules occures on the back of head just above the hair line.

Treatment of Acne Keloidalis

Treatment choice involve topical preparations, tablets by mouth, injections, laser cure, the removal of single bumps, and, if serious the complete surgical excision of the complex area. Cryotherapy has also proven to be successful in a few cases. The area is frozen for 20 seconds, allowed to melt and is then frozen again a minute later. Hair removal lasers can prove to be a very helpful tool in early AKN. One way to prevent the event is to ensure the hair is a minimum of 1/4" in length as anything less may be too close of a cut and could leave the individual susceptible to acne keloidalis nuchae. Additionally laser hair removal may really prevent acne keloidalis nuchae from recurring.

  • Radiotherapy is useful to care for this disease.
  • Oral antibiotics is also useful.
  • Combination of retinoic acid and corticosteroid cream other gel may be adequate.
  • Surgical excision is used to treat large keloidal plaques.
  • Other cures like preparations, tablets by mouth, injections, the removal of single bumps.


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