TLDR Excision and laser techniques can effectively treat acne keloidalis nuchae.
Pseudofolliculitis barbae (PFB) was primarily caused by close shaving, especially in individuals with tightly curled coarse hair, leading to sharp hair tips that penetrate the skin either extrafollicularly or transfollicularly. PFB commonly affected the beard area but could also occur on the pubic area, scalp, and legs. Acne keloidalis nuchae (AKN) was characterized by keloidal-like papules and plaques on the occipital scalp and posterior neck, predominantly in African American men. AKN typically began after puberty as acute folliculitis and perifolliculitis, progressing to chronic conditions with scarring alopecia.
96 citations,
February 2002 in “Journal of the American Academy of Dermatology” Pseudofolliculitis barbae is a chronic skin condition affecting mainly African American and Hispanic individuals, caused by shaving tightly curled hair, and managed by prevention and treatment but not curable.
47 citations,
November 2000 in “Archives of dermatology” Pulsed infrared laser can effectively reduce symptoms of pseudofolliculitis barbae.
9 citations,
June 2019 in “JAAD case reports” Laser hair removal can help treat acne keloidalis nuchae, but results vary and a standard scoring system is needed.
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.
49 citations,
March 2014 in “Dermatologic clinics” These skin conditions in African men need combined medical treatments and lifestyle changes.
1 citations,
January 2019 in “Springer eBooks” Hidradenitis Suppurativa is a chronic skin condition best treated early with surgery for better outcomes and less recurrence.
September 2023 in “Clinical, cosmetic and investigational dermatology” A new surgical method using special sutures significantly reduced wound size and prevented disease return in patients with a scarring scalp condition.
