Acne Keloidalis Nuchae is a skin condition where papules form on the back of the head or over the hairline. It is actually not a real type of acne. Most dermatologists believe that it is a disorder that affects the follicles. If this condition goes untreated, it can get worse. Therefore, it is essential to understand what causes this disorder and effective ways to treat it.
Causes Of Folliculitis Keloidalis Nuchae
There is no known reason for the appearance of this condition. It is not passed from person to person and can affect anyone. The largest affected group that suffers with this is male African Americans. It is very common and there may be a genetic link. Many experts think that people with this condition have deep follicles in the lower back of the area which result in scar like bumps. When not treated, they get bigger and join into one large ugly mass. It can be extremely itchy, but should not be scratched or picked.
How To Care For This Condition
Individuals who develop this disorder must not irritate the area, this will prevent future lesions from forming.
- Thoroughly wash the area with a gentle cleanser, making sure not to scrub the head.
- Do not shave the back of the neck or cut hair too short.
- Use a cortisone cream to relieve itching.
Medical Means Of Treating This Condition
When a person has a severe case of this skin disorder, it may be wise to seek the advice of a professional dermatologist. They may be able to prescribe the best course of treatment.
- Oral Therapy: Most dermatologists will prescribe antibiotics to solve the problem. They lower the skin’s bacteria and speed healing. A course of oral steroids may also be prescribed.
- Injection: Intralesional injections may be placed directly into the scars containing a steroid medicine to lower inflammation and heal sores.
- Laser Hair Removal: This treatment is used to prevent the condition by lowering the likelihood of the condition from getting worse or coming back. This may not be quite effective if the lesions are severe.
- Surgery: As a final way to treat this condition, a doctor may turn to surgical means to remove the lesions.
Surgical Ways To Treat Keloidalis Nuchae
Skin grafts may be used to replace the area affected by this condition. However, many times it may result in ugly outcomes where skin does not properly match. Another method involves excision with primary closure which cuts out the area in an elliptical shape. The skin is then stitched together. In the end, this method may leave large and unsightly scarring. When closed in stages, it may allow a person’s head to move more freely. Another procedure is excision with secondary healing. This makes the wound heal for 6-10 weeks following the procedure. This will result in a smaller and flatter scar. Electrosurgical excision utilizes an electrified wire to get rid of the tissue. The area is left to heal on its own with help from petroleum jelly and gauze. People are given antibiotics to keep infection at bey. This method lowers the amount of blood loss suffered. The final surgical method is excision with trychophytic closure which repositions lines of hair close to the scar to make the line become less visible when healed.
Education is very important to prevent this condition and it must be treated quickly. It may be helpful to shampoo the head with a benzoyl peroxide wash or cleanser that contains alpha hydroxy acids. After Acne Kelopidalis Nuchae is under control, maintenance or topical steroids and retinoids may be necessary.