Acne keloidalis nuchae (AKN), also known as folliculitis keloidalis, is a chronic inflammatory condition of the scalp.1 It is characterised by fibrotic papules, plaques and scarring alopecia of the occipital scalp and/or nape of the neck.1
The cause of AKN is not completely understood, although trauma or immune reactions, genetic factors and androgen hormones are considered to play a role.2 It is a chronic disease with a tendency for episodic flare-ups. Early treatment is important to minimise risk of scarring alopecia.2
This article will explore the various treatment options, which range from preventative measures and topical treatments in mild cases, to surgery, laser hair removal, ablative laser resurfacing and oral isotretinoin in refractory cases.
AKN is a common condition with reported incidence between 0.45%-9%.3-8 It predominantly affects with curly or kinky hair; it is, however, occasionally seen in the Caucasian and Asian population.2 It…
