eMedicine Specialties > Dermatology > Diseases of the Adnexa

Acne Keloidalis Nuchae: Multimedia

Author: Philip R Letada, MD, Resident Physician, Department of Dermatology, Naval Medical Center San Diego
Coauthor(s): Elizabeth Kline Satter, MD, MPH, Staff Dermatologist and Head of Dermatopathology for Residency Program, Department of Dermatology, Naval Medical Center San Diego
Contributor Information and Disclosures

Updated: Apr 3, 2009

Multimedia

Numerous acne keloidalis papules and plaques in a...Media file 1: Numerous acne keloidalis papules and plaques in a white man with straight hair.
Numerous acne keloidalis papules and plaques in a...

Numerous acne keloidalis papules and plaques in a white man with straight hair.

A large acne keloidalis plaque in a bandlike dist...Media file 2: A large acne keloidalis plaque in a bandlike distribution at the posterior occiput in an African American man.
A large acne keloidalis plaque in a bandlike dist...

A large acne keloidalis plaque in a bandlike distribution at the posterior occiput in an African American man.

A large acne keloidalis plaque on the occipital r...Media file 3: A large acne keloidalis plaque on the occipital region in an African American patient. This man also had perifolliculitis of the scalp and acne conglobata (the follicular occlusion triad).
A large acne keloidalis plaque on the occipital r...

A large acne keloidalis plaque on the occipital region in an African American patient. This man also had perifolliculitis of the scalp and acne conglobata (the follicular occlusion triad).

Numerous papules that have coalesced into a large...Media file 4: Numerous papules that have coalesced into a large plaque, within which are tufts of hairs with several hair shafts exiting the same follicular orifice.
Numerous papules that have coalesced into a large...

Numerous papules that have coalesced into a large plaque, within which are tufts of hairs with several hair shafts exiting the same follicular orifice.

A dense plasma cell infiltrate surrounding a hair...Media file 5: A dense plasma cell infiltrate surrounding a hair follicle.
A dense plasma cell infiltrate surrounding a hair...

A dense plasma cell infiltrate surrounding a hair follicle.

Naked hair shafts embedded within a fibrotic derm...Media file 6: Naked hair shafts embedded within a fibrotic dermis.
Naked hair shafts embedded within a fibrotic derm...

Naked hair shafts embedded within a fibrotic dermis.

More on Acne Keloidalis Nuchae

Overview: Acne Keloidalis Nuchae
Differential Diagnoses & Workup: Acne Keloidalis Nuchae
Treatment & Medication: Acne Keloidalis Nuchae
Follow-up: Acne Keloidalis Nuchae
Multimedia: Acne Keloidalis Nuchae
References

References

  1. Dinehart SM, Herzberg AJ, Kerns BJ, Pollack SV. Acne keloidalis: a review. J Dermatol Surg Oncol. Jun 1989;15(6):642-7. [Medline].

  2. Gloster HM Jr. The surgical management of extensive cases of acne keloidalis nuchae. Arch Dermatol. Nov 2000;136(11):1376-9. [Medline].

  3. Adamson HG. Dermatitis papillaris capillittii (Kaposi). Acne keloid. Br J Dermatol. 1914;26:69-83.

  4. Knable AL Jr, Hanke CW, Gonin R. Prevalence of acne keloidalis nuchae in football players. J Am Acad Dermatol. Oct 1997;37(4):570-4. [Medline].

  5. Khumalo NP, Jessop S, Gumedze F, Ehrlich R. Hairdressing and the prevalence of scalp disease in African adults. Br J Dermatol. Nov 2007;157(5):981-8. [Medline].

  6. Grunwald MH, Ben-Dor D, Livni E, Halevy S. Acne keloidalis-like lesions on the scalp associated with antiepileptic drugs. Int J Dermatol. Oct 1990;29(8):559-61. [Medline].

  7. Wu WY, Otberg N, McElwee KJ, Shapiro J. Diagnosis and management of primary cicatricial alopecia: part II. Skinmed. Mar-Apr 2008;7(2):78-83. [Medline].

  8. Sperling LC, Homoky C, Pratt L, Sau P. Acne keloidalis is a form of primary scarring alopecia. Arch Dermatol. Apr 2000;136(4):479-84. [Medline].

  9. Herzberg AJ, Dinehart SM, Kerns BJ, Pollack SV. Acne keloidalis. Transverse microscopy, immunohistochemistry, and electron microscopy. Am J Dermatopathol. Apr 1990;12(2):109-21. [Medline].

  10. Kelly AP. Pseudofolliculitis barbae and acne keloidalis nuchae. Dermatol Clin. Oct 2003;21(4):645-53. [Medline].

  11. George AO, Akanji AO, Nduka EU, Olasode JB, Odusan O. Clinical, biochemical and morphologic features of acne keloidalis in a black population. Int J Dermatol. Oct 1993;32(10):714-6. [Medline].

  12. Goh MS, Magee J, Chong AH. Keratosis follicularis spinulosa decalvans and acne keloidalis nuchae. Australas J Dermatol. Nov 2005;46(4):257-60. [Medline].

  13. Janjua SA, Iftikhar N, Pastar Z, Hosler GA. Keratosis follicularis spinulosa decalvans associated with acne keloidalis nuchae and tufted hair folliculitis. Am J Clin Dermatol. 2008;9(2):137-40. [Medline].

  14. Luz Ramos M, Munoz-Perez MA, Pons A, Ortega M, Camacho F. Acne keloidalis nuchae and tufted hair folliculitis. Dermatology. 1997;194(1):71-3. [Medline].

  15. Adegbidi H, Atadokpede F, do Ango-Padonou F, Yedomon H. Keloid acne of the neck: epidemiological studies over 10 years. Int J Dermatol. Oct 2005;44 Suppl 1:49-50. [Medline].

  16. Quarles FN, Brody H, Badreshia S, et al. Acne keloidalis nuchae. Dermatol Ther. May-Jun 2007;20(3):128-32. [Medline].

  17. Layton AM, Yip J, Cunliffe WJ. A comparison of intralesional triamcinolone and cryosurgery in the treatment of acne keloids. Br J Dermatol. Apr 1994;130(4):498-501. [Medline].

  18. Kantor GR, Ratz JL, Wheeland RG. Treatment of acne keloidalis nuchae with carbon dioxide laser. J Am Acad Dermatol. Feb 1986;14(2 Pt 1):263-7. [Medline].

  19. Shah GK. Efficacy of diode laser for treating acne keloidalis nuchae. Indian J Dermatol Venereol Leprol. Jan-Feb 2005;71(1):31-4. [Medline].

  20. Califano J, Miller S, Frodel J. Treatment of occipital acne keloidalis by excision followed by secondary intention healing. Arch Facial Plast Surg. Oct-Dec 1999;1(4):308-11. [Medline].

  21. Glenn MJ, Bennett RG, Kelly AP. Acne keloidalis nuchae: treatment with excision and second-intention healing. J Am Acad Dermatol. Aug 1995;33(2 Pt 1):243-6. [Medline].

  22. Bajaj V, Langtry JA. Surgical excision of acne keloidalis nuchae with secondary intention healing. Clin Exp Dermatol. Jan 2008;33(1):53-5. [Medline].

Further Reading

Keywords

acne keloidalis nuchae, acne keloidalis, acne, folliculitis keloidalis nuchae, dermatititis papilliaris capillitii, sycosis framboesiformis, folliculitis nuchae sclerotisans

Contributor Information and Disclosures

Author

Philip R Letada, MD, Resident Physician, Department of Dermatology, Naval Medical Center San Diego
Philip R Letada, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, and Association of Military Dermatologists
Disclosure: Nothing to disclose.

Coauthor(s)

Elizabeth Kline Satter, MD, MPH, Staff Dermatologist and Head of Dermatopathology for Residency Program, Department of Dermatology, Naval Medical Center San Diego
Elizabeth Kline Satter, MD, MPH is a member of the following medical societies: Alpha Omega Alpha and American Medical Women's Association
Disclosure: Nothing to disclose.

Medical Editor

James W Patterson, MD, Director of Dermatopathology, Professor of Pathology and Dermatology, Departments of Pathology and Dermatology, University of Virginia Medical Center
James W Patterson, MD is a member of the following medical societies: American Academy of Dermatology, American College of Physicians, American Medical Association, American Society of Dermatopathology, Medical Society of Virginia, Royal Society of Medicine, Society for Investigative Dermatology, and United States and Canadian Academy of Pathology
Disclosure: Nothing to disclose.

Pharmacy Editor

David F Butler, MD, Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic
David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Managing Editor

John G Albertini, MD, Consulting Staff, Dermatologic Surgery, The Skin Surgery Center
John G Albertini, MD is a member of the following medical societies: American Academy of Dermatology and American College of Mohs Micrographic Surgery and Cutaneous Oncology
Disclosure: Nothing to disclose.

CME Editor

Glen H Crawford, MD, Assistant Clinical Professor, Department of Dermatology, University of Pennsylvania School of Medicine; Chief, Division of Dermatology, The Pennsylvania Hospital
Glen H Crawford, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Phi Beta Kappa, and Society of USAF Flight Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
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