Acne Keloidalis Nuchae (a.k.a. folliculitis keloidalis)

What is Acne Keloidalis Nuchae

Acne keloidalis nuchae is a condition in which firm papules appear on the posterior neck near or above the hairline. The term keloidalis means “keloid-like” or “scar-like.” The term “nuchae” simply means “neck.” The condition is really not a form of acne, and some dermatologists prefer to call it folliculitis keloidalis nuchae.

What Causes Acne Keloidalis Nuchae

We do not know why it occurs. It is not contagious. It can affect anyone, but the majority of cases occur in African-American men. The condition is common and you may know others who have acne keloidalis nuchae. There may be a genetic predisposition for the condition. The current belief is that it may be related to a chronic, deep folliculitis in the posterior neck area. For some reason, the skin in the posterior neck area tends to react by forming firm, scar-like or keloid-like bumps. If the bumps are left untreated, they often will grow larger and may merge into a large unsightly plaque.

It is very important to treat this condition early and aggressively to prevent it from worsening.

The condition can be very itchy, and scratching it can make acne keloidalis worse. It is very important not to scratch, rub, or pick at the bumps. If itching is a problem, let your dermatologist know so they can include an anti-itch treatment in your care plan.

Acne Keloidalis Nuchae Treatments

Treatment options include topical preparations, pills by mouth, injections, laser treatment, the removal of single bumps, and, if severe, the complete surgical excision of the involved area.

Dr. Crutchfield will design and recommend the treatment program that is best for your condition.

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