Parker Lily, Ghali Helana, Ravichandran Sairekha, Cohen George, Correa-Selm Lilia
Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Department of Dermatology and Cutaneous Surgery, University of South Florida, Tampa, FL, USA.
J Cosmet Laser Ther. 2025;27(4-5):163-165. doi: 10.1080/14764172.2025.2510436. Epub 2025 May 23.
Acne keloidalis nuchae (AKN) is a scarring folliculitis characterized by papules, pustules, and tumor-like masses on the neck and scalp. Management varies with severity; mild cases respond to topical treatments, while severe cases may require systemic therapies or surgical interventions. We present two tumor-stage AKN cases successfully treated with electrosurgical excision and loop cautery, followed by secondary intention healing. In Case 1, a 38-year-old male with extensive keloidal plaques achieved significant improvement after electrosurgical excision. In Case 2, a 19-year-old male with recurrent pustules saw notable cosmetic and symptomatic relief from loop cautery. Both techniques proved effective and enhanced healing.
瘢痕疙瘩性痤疮（AKN）是一种瘢痕性毛囊炎，其特征为颈部和头皮出现丘疹、脓疱及肿瘤样肿物。治疗方法因病情严重程度而异；轻度病例采用局部治疗有效，而重度病例可能需要全身治疗或手术干预。我们报告了两例肿瘤期AKN病例，通过电外科切除和环形烧灼术成功治疗，随后采用二期愈合。病例1中，一名38岁男性有广泛的瘢痕疙瘩性斑块，电外科切除后有显著改善。病例2中，一名19岁男性有复发性脓疱，环形烧灼术后在外观和症状上均有明显缓解。两种技术均证明有效且促进了愈合。
