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.
22 citations,
June 1977 in “Postgraduate Medicine” Certain skin conditions are more common in black people due to hair and skin differences.
24 citations,
October 2007 in “Clinical and experimental dermatology” Surgical excision with natural healing effectively treats acne keloidalis nuchae without recurrence.
January 2010 in “Elsevier eBooks” The document concludes that different types of hair loss have specific treatments, and early diagnosis is crucial for preventing permanent hair loss.
90 citations,
June 2006 in “The American Journal of Dermatopathology” The document concludes that accurate diagnosis of different types of hair loss requires careful examination of hair and scalp tissue, considering both clinical and microscopic features.
64 citations,
January 2004 in “American journal of clinical dermatology” Folliculitis is an inflammation of hair follicles that requires proper diagnosis and treatment based on the specific cause.
30 citations,
May 2014 in “American Journal of Clinical Dermatology” The conclusion is that better understanding and more research are needed to effectively manage follicular and scarring disorders in skin of color, with an emphasis on patient education and cultural awareness.