Folliculitis keloidalis, also known as folliculitis keloidalis nuchae or acne Keloidal nuchae is a chronic skin condition characterized by inflammation and subsequent scarring on the back of the neck, particularly the back of the head. While it most commonly affects men of African descent, it can affect people of all ethnicities. The exact cause is unknown, but it is thought to involve a combination of hair shaving, skin friction, genetic predisposition, and possibly bacterial infection.
Symptoms
The symptoms of keloid folliculitis can include the following:
- Initially small, firm, round nodules on the back of the head or neck, which may itch or be painful.
- Over time, these nodules can grow together to form larger, raised scars (keloids) that are permanent and can be cosmetically bothersome.
- Hair loss in the affected area.
- Occasional inflammation, redness, and pus formation.
Treatment
Treatment for keloid folliculitis aims to reduce inflammation, prevent disease progression, and improve cosmetic appearance. However, a complete cure is difficult, and treatment can be lengthy. Treatment options include:
- Topical steroids : To reduce inflammation.
- Antibiotics : Topical or oral antibiotics may be prescribed for bacterial infection.
- Intralesional steroid injections : These are injected directly into the scars to reduce inflammation and minimize scarring.
- Laser therapy : Can be used to reduce scarring and to treat inflamed follicles.
- Surgical removal : In severe cases, surgical removal of the affected skin and subsequent skin transplantation may be necessary.
Preventive measures
- Gentle hair removal : Avoid close shaving and frequent shaving to minimize skin irritation.
- Avoiding friction : Wear loose-fitting clothing to avoid friction in the neck area.
- Hygiene : Regular cleaning of the affected area can help prevent bacterial infections.
Important to note
Because keloid folliculitis can lead to permanent scarring and may be psychologically distressing, it is important to consult a dermatologist at the first signs of the disease. Early intervention can help slow its progression and improve quality of life.
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