The Surgical Management of Extensive Cases of Acne Keloidalis Nuchae

The study evaluated the efficacy of excision with primary closure for treating extensive and refractory acne keloidalis nuchae (AKN) in 25 healthy, young black men. All patients underwent surgical excision, with most receiving a one-stage layered closure. The results were rated as good to excellent cosmetically, with no complete recurrences of acne keloids. Some patients developed minor complications like pustules, papules, and hypertrophic scars, which were effectively treated with steroids. The study concluded that excision with primary closure is an excellent treatment for extensive AKN, recommending multiple stages for extremely large lesions.