Acne cheloidalis

Acne cheloidalis




Why is this skin condition called acne keloidalis nuchae, and what are the clinical features of folliculitis keloidalis?

Initially, itchy round, small bumps appear within or close to the hair-bearing area of the back of the neck (occipital scalp). These firm papules can be very itchy, and scratching can lead to a secondary bacterial infection, specifically Staphylococcus aureus. Sometimes, there are pustules around the hair follicles, indicating folliculitis.

As time progresses, the bumps become small scars, which may then greatly enlarge to form keloid-like masses. These hairless scars can form a band along the hairline, often accompanied by tufted hairs – multiple hair shafts emerging from a single follicular opening. The term “nuchae” in acne keloidalis nuchae accurately describes the location of the condition, which is the back of the neck.

While the description of acne keloidalis nuchae accurately represents its appearance, the bumps are not akin to pimples or other acne types. The resulting scars, if left untreated, do not necessarily develop into keloids. Furthermore, the bumps and scars may extend beyond the back of the neck onto the scalp.

If you are experiencing breakouts resembling acne, razor bumps, or raised scars on the back of your neck or head, it is advisable to consult a board-certified dermatologist for proper diagnosis and treatment.

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