Acne Keloidalis Nuchae: A Therapeutic Challenge for Dermatologists.

Actas Dermosifiliogr

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.

Published: November 2024

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. AKN is characterized by fibrotic papules and plaques that can converge in tumor-like lesions; subclinical disease has been reported in perilesional areas, which could impact its development. Early diagnosis and treatment are essential to reduce morbidity and preserve and minimize healing. Various treatments have been established including optimal medical therapy, surgical excision, and light sources. An updated description of treatments (algorithm included) used for AKN is suggested based on the clinical lesions.

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Source
http://dx.doi.org/10.1016/j.ad.2024.08.011DOI Listing

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