BH05 Acne Keloidalis Nuchae: Addressing Diagnostic and Treatment Gaps in a High-Risk Population
June 2025
in “
British Journal of Dermatology
”
Studysummary This review highlights that acne keloidalis nuchae notably affects men with afro-textured hair and results in scarring and hair loss, underscoring the need for improved diagnosis and treatment strategies due to its significant psychosocial impact and high recurrence rates following current therapies. Our plain-language summary of this paper — not a Tressless recommendation.
Acne keloidalis nuchae (AKN) is a form of primary cicatricial alopecia that predominantly affects men of African descent, leading to scarring and permanent hair loss, with significant psychological impacts. Despite its prevalence, AKN is under-recognized, lacking universal diagnostic criteria and treatment guidelines. The review identifies genetic predisposition, mechanical friction, hormonal influences, and immune dysregulation as contributing factors. Treatment options include laser therapy, surgical interventions, and medical therapies, with laser therapies showing 82–95% improvement in symptoms. However, high recurrence rates and the psychosocial impact of AKN highlight the need for comprehensive, evidence-based management strategies that address both clinical and mental health aspects. Future research should focus on genetic risk factors, optimizing therapies, and developing culturally competent treatment guidelines.
