Naval Medical Center Portsmouth, Virginia, and currently is serving with 3rd Battalion 6th Marines, Camp Lejeune, North Carolina, USA.
Department of Dermatology, Madigan Army Medical Center, Tacoma, Washington, USA.
Cutis. 2020 May;105(5):223-226.
Acne keloidalis nuchae (AKN) is a chronic inflammatory skin disease characterized by the development of keloidlike papules, pustules, and plaques on the occipital scalp and posterior neck following mechanical trauma and irritation. First-line therapy involves avoidance of aggravating factors including short and frequent haircuts. Medical treatments-from topical and intralesional steroids, oral antibiotics, and UV light to laser and surgical excision-have demonstrated varying degrees of efficacy. The active-duty military population faces unique challenges in the treatment of AKN because personal appearance and grooming standards restrict avoidance of the very factors that promote this disease process. In this population, early identification and treatment are critical to reducing overall patient morbidity and ensuring continued operational and medical readiness. This article reviews the clinical features, epidemiology, and treatments available in the management of AKN, with a special focus on the active-duty military population.
瘢痕性脱发（AKN）是一种慢性炎症性皮肤病，其特征是在枕部头皮和后颈部发生瘢痕样丘疹、脓疱和斑块，继发于机械性创伤和刺激。一线治疗包括避免加重因素，包括短发和频繁理发。从局部和皮损内类固醇、口服抗生素和紫外线到激光和手术切除等各种医学治疗方法都显示出不同程度的疗效。现役军人在 AKN 的治疗中面临着独特的挑战，因为个人外表和仪容标准限制了避免促进这种疾病过程的因素。在这一人群中，早期识别和治疗对于降低患者整体发病率、确保持续的作战和医疗准备至关重要。本文综述了 AKN 的临床特征、流行病学和治疗方法，特别关注现役军人。
