141 results match your criteria: "Acne Keloidalis Nuchae"

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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Moving Beyond Traditional Methods for Treatment of Acne Keloidalis Nuchae.

Cutis

September 2024

Clinical Assistant Professor (Adjunct), Department of Urban Health and Population Science, Center for Urban Bioethics, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.

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Article Synopsis
  • Acne keloidalis nuchae (AKN) is a type of scarring hair loss more prevalent in individuals of African descent, and this study focuses on its occurrence in Hispanic patients.
  • A retrospective study involving 142 patients from dermatological centers in several Latin American countries found that the majority were young males with a significant history of trauma in the nuchal area.
  • The findings suggest that AKN should be considered in Hispanic populations, as those with longer-term symptoms tend to present with more severe disease stages.
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Article Synopsis
  • Acne keloidalis nuchae (AKN) is a rare, chronic skin condition that is mainly treated with medication, but surgery may be necessary for severe cases.
  • The case report describes a patient with severe AKN who underwent surgical excision and skin grafting, along with negative pressure wound therapy.
  • The patient experienced good cosmetic and functional outcomes, with a healing period of just six weeks.
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Article Synopsis
  • Pseudofolliculitis barbae (PFB) is a chronic skin condition that affects predominantly black Africans who shave regularly, with significant aesthetic and professional implications; however, research data on this issue in Sub-Saharan Africa is limited.
  • A study conducted in March 2019 involving 655 African-descent police students in Dakar revealed a 38.8% prevalence of PFB, with higher rates in males (43.7%) compared to females (11.9%).
  • The main characteristics of PFB included pruritic and papular lesions, commonly found on the submandibular region, and complications such as post-inflammatory hyperpigmentation; risk factors identified included male gender and a family history of P
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Acne keloidalis nuchae (AKN) is a rare dermatological condition primarily observed in men of African descent. We present a remarkable case of AKN in a 38-year-old Caucasian non-Hispanic woman with metabolic syndrome and autoimmune thyroiditis. After appropriate treatment during the one-year follow-up (including oral antibiotics, insulin sensitizers, levothyroxine, spironolactone and liraglutide), the patient demonstrated a visible reduction in plaque size and improvement of overall symptoms.

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Article Synopsis
  • - Acne keloidalis nuchae is a chronic skin condition affecting the back of the neck, marked by firm, inflamed lumps that can develop into larger keloid-like masses; it was first identified by Kaposi in 1969.
  • - Treatment options are limited, as conventional methods like topical steroids and antibiotics often fail if the condition is not addressed early, making surgical intervention necessary in advanced cases.
  • - A recent study found that combining carbon dioxide laser ablation with an intralesional triamcinolone injection in a single outpatient session leads to effective results with no relapse and reduced recovery time compared to traditional surgical methods.
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Article Synopsis
  • When evaluating pediatric patients of color, healthcare providers must recognize unique dermatologic conditions that are more prevalent, such as keloids and postinflammatory hyperpigmentation.* -
  • Conditions like vitiligo can significantly impact quality of life and may be harder to identify in darker skin due to inflammation being less visible.* -
  • Treatment approaches should take into account cultural norms and lifestyle factors, including preferences for sunscreen and hair care practices, to ensure effective care.*
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Dermatology in black skin.

An Bras Dermatol

April 2024

Department of Dermatology, Universidade do Oeste Paulista, Presidente Prudente, SP, Brazil. Electronic address:

Article Synopsis
  • Most dermatology publications focus on lightly pigmented skin, leaving a knowledge gap regarding black skin and its unique dermatological needs.
  • The article reviews intrinsic characteristics, epidemiological data, and clinical aspects related to various skin conditions prevalent in black individuals, highlighting significant differences with lightly pigmented skin.
  • It also identifies specific dermatoses that are either more common in black skin or unique to it, such as pseudofolliculitis barbae and keloids, and discusses skin cancers and their characteristics in this population.
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Article Synopsis
  • Folliculitis decalvans (FD) is a challenging skin condition causing scarring alopecia, often treated only with temporary results, and this study explores a surgical approach for it.
  • Five patients underwent surgical excision of FD lesions, with wounds healing by second-intention using special sutures to promote closure and minimize damage.
  • All patients showed significant healing, with three completely healed and no cases of recurrence after 10-24 months, marking the first successful surgical treatment report for FD.
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Article Synopsis
  • Small observational studies indicate that even areas of the scalp that appear normal can show signs of subclinical disease in patients with primary cicatricial alopecias, prompting researchers to evaluate the entire scalp in those with acne keloidalis nuchae (AKN).
  • In this retrospective study involving 41 patients, doctors performed clinical evaluations and trichoscopy-guided biopsies on both affected and seemingly normal scalp regions to identify hidden conditions.
  • Results showed that all patients exhibited signs of inflammatory changes in the normal scalp, with histological evidence suggesting that these changes may signal the onset of various types of cicatricial alopecias, highlighting the importance of early detection and management strategies.
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Article Synopsis
  • Sarcoidosis is an inflammatory disease that can affect many parts of the body, commonly starting in the skin with unique noncaseating granulomas.
  • It is known for mimicking other conditions due to its diverse symptoms and can lead to different types of hair loss, including scarring and nonscarring alopecia.
  • This case series highlights two unique instances of sarcoidosis that not only resemble other forms of alopecia but also occur alongside a different, identifiable type of hair loss.
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Scarring Alopecia.

Dermatol Clin

July 2023

Department of Dermatology, Wake Forest Baptist Health, 4618 Country Club Road, Winston-Salem, NC 27104, USA. Electronic address:

Article Synopsis
  • African hair and pigmented scalps have distinct traits that complicate scarring alopecia diagnosis.
  • Black patients often experience multiple hair disorders simultaneously, making it crucial to fully understand their symptoms for accurate diagnosis.
  • Common types of alopecia on different scalp areas include traction and frontal fibrosing alopecia in the front, various cicatricial alopecias in the middle, and folliculitis, dissecting cellulitis, and acne keloidalis nuchae in the back.
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Article Synopsis
  • Primary scarring alopecias (PSAs) are rare skin disorders that cause permanent hair loss and can significantly affect mental health.
  • A study analyzed 53 confirmed PSA cases, finding that lichen planopilaris was the most common type, followed by pseudopelade of Brocq and discoid lupus erythematosus, with various histological features observed.
  • The research highlights the need for thorough histological analysis and clinico-pathological correlation for accurate diagnosis and effective treatment of PSAs.
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