Patel Ami, Pippin Micah, Marshall Diahann
Family Medicine, Louisiana State University Health Sciences Center, Alexandria, USA.
Family Medicine, Rapides Regional Medical Center, Alexandria, USA.
Cureus. 2025 Jun 13;17(6):e85919. doi: 10.7759/cureus.85919. eCollection 2025 Jun.
Acne keloidalis nuchae (AKN), also known as folliculitis keloidalis nuchae and nuchal keloid acne, is a chronic inflammatory skin disorder of the hair follicle. Predominantly occurring in the nuchal and occipital scalp, it can lead to keloid-like plaques and cicatricial alopecia. Primarily affecting people of color, more specifically African American individuals, it is associated with haircuts, friction, or trauma among a variety of other less common causes. The diagnosis is clinical with physical exam findings showing firm, dome-shaped papules or pustules, hypertrophic scars, inflammation, and alopecia. Although challenging as the disease progresses, management includes topical and systemic antimicrobials, corticosteroids, cryotherapy, laser therapy, and surgical excision. Early intervention is vital as it helps minimize the risk of permanent scarring and psychosocial impact. The following case report is about a young, African American male who presented to the outpatient clinic with findings concerning for AKN.
项部瘢痕疙瘩性痤疮（AKN），也称为项部瘢痕疙瘩性毛囊炎和项部瘢痕性痤疮，是一种毛囊的慢性炎症性皮肤病。主要发生在项部和枕部头皮，可导致瘢痕疙瘩样斑块和瘢痕性脱发。主要影响有色人种，更具体地说是非裔美国人，它与理发、摩擦或创伤以及其他各种不太常见的原因有关。诊断依靠临床检查，体格检查结果显示有坚实的、圆顶状丘疹或脓疱、肥厚性瘢痕、炎症和脱发。尽管随着疾病进展治疗具有挑战性，但治疗方法包括局部和全身使用抗菌药物、皮质类固醇、冷冻疗法、激光疗法和手术切除。早期干预至关重要，因为它有助于将永久性瘢痕形成和心理社会影响的风险降至最低。以下病例报告是关于一名年轻的非裔美国男性，他到门诊就诊，检查结果提示患有项部瘢痕疙瘩性痤疮。
