Acne Keloidalis Nuchae: Chronic Condition in African Men

    July 2018 in “ Elsevier eBooks ”
    Rita Rodrigues‐Barata, Laura Miguel-Gómez, David Saceda‐Corralo, Sergio Vañó‐Galván
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    Studysummary This review discusses primary neutrophilic cicatricial alopecias, their clinical and histological characteristics, and the importance of early therapeutic intervention to prevent scarring alopecia, reporting no new clinical results.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    Acne keloidalis nuchae (AKN) is a chronic condition primarily affecting African men, with a prevalence of 0.45% to 13.6% and is 20 times more common in men than women. It is characterized by papules, pustules, and keloid-like masses in the occipital and nuchal regions, with contributing factors including androgens, infections, trauma, and ingrown hairs. The exact pathogenesis is unclear but may involve genetic predisposition, hair texture, androgens, and autoimmune reactions. Symptoms include itching or pain, progressing to nodules and permanent hair loss. Early treatment is key and includes antibiotics, corticosteroids, cryotherapy, surgery, and laser therapy. Prognosis hinges on early treatment to prevent permanent hair loss, and avoiding known triggers can prevent new lesions.
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