How do you get rid of Keloidalis nuchae acne ?

 ACNE  KELOIDALIS  NUCHAE :

Acne keloidalis nuchae (AKN) is a type of folliculitis, which is inflammation of your hair follicles . The chronic disorder affects the follicles on the back of your neck and back of your scalp, the skin covering your head where hair grows.



Acne keloidalis nuchae (AKN) is a skin disorder involving inflammation of the hair follicles on your neck and back of your scalp. It causes red patches on your skin, which can develop into papules, plaques, pustules, infections, scarring and hair loss. AKN is most common among men with curly hair. Acne keloidalis nuchae, also known as keloidal folliculitis, is a long-term or chronic inflammatory condition. It can lead to lesions, or sores, that appear on the nape of the neck and can turn into scars.

Acne keloidalis nuchae can be triggered by trauma, friction, or an infection. Read on to learn more about acne keloidalis nuchae, how to treat it, prevent it, and more.

AKN can cause progressively worsening skin problems in the area, which may lead to scarring and hair loss.

The condition is also called:

  • Acne keloidalis.
  • Dermatitis papillaris capillitia.
  • Folliculitis keloidalis.
  • Folliculitis keloidalis nuchae.
  • Folliculitis nuchae.
  • Keloidal folliculitis.
  • Sycosis framboesiformis.
HOW IS ACNE KELOIDALIS NUCHAE DIAGNOSED ?



There aren’t perfect tests to diagnose acne keloidalis nuchae. A healthcare provider can diagnose the condition based on a physical exam of the neck and scalp. The healthcare provider will also ask about:

  • Symptoms.
  • When they started.
  • Whether they’ve changed over time.
  • What seems to irritate your skin.
  • Treatments you’ve already tried.

If the diagnosis isn’t clear, your healthcare provider may recommend a biopsy .The test takes a small sample of your skin so an expert can look at the cells under a microscope to help diagnose and treat the condition.

If the skin lesions seem to be infected, then your healthcare provider might order a culture. That’s a test to determine the type of infection. A culture can help decide what treatment can clear the infection.

WHAT ARE THE SYMPTOMS OF ACNE KELOIDALS NUCHAE ?

Acne keloidalis nuchae often starts with inflamed rashes called papules. They come with erythema, or redness, and can eventually develop into pustules, which are blisters or pimples containing pus. Papules can also develop into tender, pus-filled masses called abscesses due to infection.‌

Over time, inflammation will lead to the formation of keloid scars and the papules will fuse into large plaques, which are broad, raised areas on your skin.



WHAT ARE THE CAUSES OF ACNE KELOIDALIS NUCHAE ?

The exact causes of acne keloidalis nuchae are not known. However, research suggests that skin injury and immune reactions are the main reasons you can develop this condition.

Skin injuries from the following may also be risk factors for developing acne keloidalis nuchae:

  • Haircutting
  • Friction
  • Irritation
  • Trauma

Getting your hair cut at a barbershop is a risk factor you should be especially cautious about since people with the condition can pass it on to you. Specifically, the infection can be spread to you through blood, since active acne keloidalis nuchae lesions bleed during haircuts and shaving tools are often shared at the barbershop.

Wearing certain types of headgear may also cause acne keloidalis nuchae. Research has shown that African-American footballers who wore headgear for protection were more likely to develop the condition.

Additionally, androgens, or male hormones, may play a role in the development of this condition. It rarely appears before puberty and after the age of 55. Androgens may boost the ability of sebaceous glands to produce oil, making it easier for your hair follicles to get irritated and inflamed.

HOW DO YOU GET RID OF ACNE KELOIDALIS NUCHAE ?

There isn’t a cure for the condition, so treatment usually involves medications to ease symptoms, such as:

  • Topical or oral antibiotics  to treat or prevent bacterial infection.
  • Retinoids (which come from vitamin A) to improve symptoms.
  • Steriods (in creams, pills or injections) to help calm inflammation.

HOW TO TREAT  ACNE KELOIDALS NUCHAE ?

There are multiple ways to treat acne keloidalis nuchae. Traditionally, the focus was on managing and preventing the condition. There is also the option to remove the abscess and scars through surgery and skin grafting if needed. 

Recently, laser and light therapies have also emerged as popular ways of treating this condition.

Managing and preventing acne keloidalis nuchae. To prevent and manage the condition, you can wear clothes that don’t touch your neck, since irritation from clothing can worsen the condition.

Additionally, you should avoid frequent haircuts and stop wearing accessories such as neck chains.

‌You can also use antimicrobial cleansers, steroids, retinoids, and/or antibiotics on your acne keloidalis nuchae to prevent infection and decrease inflammation.

Surgery. If your acne keloidalis nuchae has progressed to an advanced stage, you may consider getting surgery or skin grafts to treat the condition. This requires long periods of healing.‌

Several risks come with getting surgery for acne keloidalis nuchae. A study showed that 17 out of 31 patients who underwent surgery to remove their acne keloidalis nuchae had mild recurrence.

Laser and light therapies. In recent years, laser and light therapies have emerged as alternatives for surgery. They seem to work by decreasing the inflammation and/or destroying your hair follicle.‌

The most common forms of laser and light therapies include treatments with a specific kind of laser, called a 1064-nm Nd:YAG, and a tUVB light. 

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