Acne Keloidalis: A Review

    June 1989 in “ ˜The œJournal of dermatologic surgery and oncology ”
    Scott M. Dinehart, Arlene J. Herzberg, Billie‐Jo M. Kerns, Sheldon V. Pollack
    TLDR Acne keloidalis is a chronic skin condition on the back of the neck in young black men, needing surgery for severe cases.
    Acne keloidalis was described as a chronic scarring folliculitis primarily affecting the posterior neck of young black men, characterized by follicular papules that merge into firm plaques and nodules. The inflammation in early lesions began at the deep infundibular and isthmic levels of the hair follicle, with an absence of sebaceous glands. The exact cause of acne keloidalis remained uncertain, with theories focusing on anatomical, infectious, and autoimmune factors. Successful surgical treatment of advanced cases was possible through various methods, provided that subfollicular destruction was achieved.
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