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Acne Keloidalis Nuchae: A Therapeutic Challenge for Dermatologists.

Actas Dermosifiliogr

November 2024

Servicio de Dermatología, Centro Dermatológico Dr. Ladislao de la Pascua, Ciudad de México, México; Servicio de Dermatología, Hospital Universitario Severo Ochoa, Madrid, España; Trichology Unit, Grupo de Dermatología Pedro Jaén, Madrid, España; Servicio de Dermatología, Hospital Universitario Ramón y Cajal; Departamento de Biología de Sistemas, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, España.

Acne keloidalis nuchae (AKN) is a chronic inflammatory dermatosis of the scalp that causes scarring alopecia. The etiology of AKN has been associated with an immune response vs. follicular antigens.

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Article Synopsis
  • Folliculitis decalvans (FD) is a rare condition primarily affecting middle-aged men, marked by specific symptoms like pustules and scarring.
  • The study compares the diagnostic effectiveness of reflectance confocal microscopy (RCM) and trichoscopy in assessing FD in 24 patients, focusing on features like inflammation and fibrosis.
  • Results indicate that RCM provides more detailed insights into the inflammatory process and is highly reproducible, suggesting that combining RCM with trichoscopy could improve diagnosis and treatment strategies for FD.
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Article Synopsis
  • Folliculitis decalvans (FD) is a rare inflammatory condition affecting the scalp, characterized by symptoms like itching, pustules, and patchy hair loss.
  • Current treatment options commonly include topical and oral antibiotics.
  • The authors suggest exploring biologic therapies for moderate to severe FD to help manage inflammation and prevent further hair loss.
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