Acne Keloidalis Nuchae: Acne and Scarring of the Scalp
Acne Keloidalis Nuchae is a condition we don’t often hear about but has severe medical and cosmetic implications to those who suffer from it.
This is a chronic inflammatory condition (like acne) that typically affects the back of the scalp/posterior hairline [or beard area – this is called acne keloidalis barbae or pseudofolliculitis barbae] causing pimples and pustules around the hair follicles. With prolonged inflammation, the area can become swollen, painful and lead to firm scars called keloids resulting in focal but often permanent hair loss.
This condition is most common in men, especially those with coarse or curly hair. Short haircuts or close shaving of the hair is a large contributing factor but friction or irritation of the hairline can also play a role. Prompt and early treatment is imperative as once scar formation and hair loss occurs, they can be permanent. Early interventions include lifestyle changes, such as avoidance of close shaves/hair styles, and topical therapies including prescription antibiotics and exfoliants. These topicals help reduce inflamed papules and prevent formation of new lesions.
While treatment of end-stage disease is more challenging, at Advanced Dermatology we offer a range of medical and cosmetic treatments that can be effective. Scarring and inflammation can be treated with systemic medications as well as injections to reduce firm scars. We offer combinations of medical therapies with laser treatments for hair removal as well as keloid scarring treatments for optimal results.
If you’ve noticed persistent breakouts or even scarring along your hairline or neck, don’t wait for it to get worse. Our board-certified dermatologists at Advanced Dermatology can help provide you with the correct diagnosis and a customized treatment plan for quick relief and prevention of hair loss. Call or text 847.459.6400 to schedule a medical appointment today!