Familial Acne Keloidalis

D’Souza, Paschal; Iyer, Vignesh; Ramam, M

doi:10.1080/000155598443132

Cited by 8 publications

(3 citation statements)

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“…Although the pathophysiology is unknown, possible etiologies include close shaving of hair in the nape area, constant mechanical irritation from shirt collars, and chronic low-grade bacterial infection. It may also present as a cutaneous manifestation of metabolic syndrome [3,5].…”

Section: Discussionmentioning

confidence: 99%

Acne Keloidalis Nuchae: A Staged Reconstruction

Labib¹,

Salfity²,

Powell³

2021

Cureus

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Acne keloidalis nuchae (AKN) is a chronic scarring folliculitis that affects the occipital area. It is characterized by papule and pustule formation which eventually leads to tumor-like mass. Early cases can be managed by medical treatment that may require months, and, usually, lesions recur. In more severe cases, surgical excision is the mainstay of treatment. In our case, we proposed a staged approach when dealing with advanced stages of AKN. This includes deep excision of the lesion down to deep subcutaneous tissue with application of negative-pressure wound therapy (NPWT) for a week followed by resurfacing of the resultant defect with a split-thickness skin graft and NPWT for another week. This approach achieved quicker wound healing with no recurrence compared with other techniques such as healing by secondary intention. To our knowledge, this case is one of the most extensive cases published in the literature.

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Section: Discussionmentioning

confidence: 99%

Acne Keloidalis Nuchae: A Staged Reconstruction

Labib¹,

Salfity²,

Powell³

2021

Cureus

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“…Subsequently, scar and keloid are formed due to the extensive folliculitis that develops. 13 Additionally, the posterior scalp is readily accessible for scratching as the area is typically not covered by clothing and is comfortable for the hand to reach. The increased incidence among football players is consistent with mechanical friction to the posterior scalp from helmets, as described by Knable and colleagues.…”

Section: Scar and Keloid Formation Secondary To Mechanically Induced mentioning

confidence: 99%

“…Indeed, familial acne keloidalis has been described. 13 Additionally, the posterior scalp is readily accessible for scratching as the area is typically not covered by clothing and is comfortable for the hand to reach. Indeed, the lower frequency found in females may be partially explained by more commonly having longer hair over the area, or hair extensions, which provide a physical block to mechanical irritation.…”

Section: Scar and Keloid Formation Secondary To Mechanically Induced mentioning

confidence: 99%