Acne Keloidalis Nuchae: Prevalence, Impact, and Management Challenges
December 2016
in “
Clinical, Cosmetic and Investigational Dermatology
”
Acne keloidalis nuchae scarring alopecia androgens inflammation infection trauma genetics ingrown hairs antiseptic shampoos topical steroids retinoids antibiotics intralesional steroids cryotherapy surgery laser therapies light therapies AKN scarring hair loss topical corticosteroids intralesional corticosteroids laser treatments light treatments
TLDR Acne keloidalis nuchae is a tough-to-treat condition that greatly affects quality of life, especially in men of African descent.
The document from 2016 discusses Acne keloidalis nuchae (AKN), a chronic condition causing scarring alopecia, primarily in men of African descent. AKN is characterized by papules, pustules, and keloidal lesions on the scalp, with an unknown cause but potential factors including androgens, inflammation, infection, trauma, genetics, and ingrown hairs. The condition significantly impacts quality of life and is challenging to treat. Management strategies include safe shaving practices, antiseptic shampoos, topical steroids, retinoids, antibiotics, intralesional steroids, cryotherapy, and in severe cases, surgery or laser and light therapies. The document stresses the importance of early treatment and education on prevention to reduce the occurrence and severity of AKN.