Prevalence of acne keloidalis nuchae in Nigerians

Salami, T. A. T.; Henry, Omeife; Samuel, Samuel

doi:10.1111/j.1365-4632.2007.03069.x

Cited by 55 publications

(27 citation statements)

References 7 publications

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“…Treatment of AKN with caustic substances such as acids may result in the development of large lesions that are unsightly and affect the individuals’ self-esteem. A previous report had associated AKN with the development of keloids elsewhere in the body but this is rarely seen 10. Repeated folliculitis predisposes to destruction of hair follicles and thus patchy alopecia.…”

Section: Clinical Featuresmentioning

confidence: 97%

“…It is predominantly a disorder of males although there are a few reports in females with a male to female ratio of 20:1 8,9. Reports from Nigeria give a prevalence ranging from 0.7% to 9.4%,10–12 while in Benin in West Africa the prevalence is 0.7% 13. In South Africa, a prevalence of 4.7% was seen in boys in their last year of school and 10.5% in older men 14.…”

Section: Introductionmentioning

confidence: 99%

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Acne keloidalis nuchae: prevalence, impact, and management challenges

Ogunbiyi¹

2016

CCID

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Acne keloidalis nuchae (AKN) also known as folliculitis keloidalis nuchae (FKN) is a chronic form of scarring folliculitis seen mostly in men of African descent. The term AKN is commonly used even though the condition is not a keloid, and the affected individuals do not have a tendency to develop keloids in other areas of the body. It is seen in post pubertal men and is rare after the age of 55 years. A few cases have been reported in females. which has been classified as a primary cicatricial alopecia since the exact cause of acne keloidalis (AK) remains unknown. However, a few inciting agents have been suggested which include androgens, inflammation, infection, trauma, genetics, and ingrowing hairs. AK shares some similar features with other forms of cicatricial alopecia and may occur together. Papules, pustules, and sometimes tumorous masses in the nuchal or occipital regions of the scalp hence the name “bumps” evolved in the environment. Despite its common occurrence, only a few seek help in hospital when lesions start to unsightly affect the individual’s quality of life. The presences of the keloidal lesions are more stressful compared to the resulting alopecia. Various attempts to reduce the bumps with corrosives, acids, and car engine oils lead to larger lesions or unsightly scars. Active lesions produce bleeding during haircuts. This is worrisome as a couple of individuals with active AK share shaving instruments at the barber shop and are at risk of acquiring or transmitting blood-borne infections. There is an urgent need to encourage safe shaving habits and treatment of lesions at onset so as to prevent unsightly lesions.

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Section: Clinical Featuresmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Acne keloidalis nuchae: prevalence, impact, and management challenges

Ogunbiyi¹

2016

CCID

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“…[353][354][355][356] About 90% of patients are below the age of 40 years. [353][354][355][356] About 90% of patients are below the age of 40 years.…”

Section: Folliculitis Keloidalis Nuchaementioning

confidence: 99%

Diseases of cutaneous appendages

Weedon

2010

Weedon's Skin Pathology

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“…The role of Staphylococcus aureus in FD is well known, the abnormal host immune responses to the bacterial antigen are responsible for the intense inflammation and scarring alopecia in the disease. [5,6] CCCA, [38] FD, [39] AK, [40] and erosive pustular dermatosis of scalp [5,6] are associated with traumatic hair care practices.…”

Section: Clinical Histopathology and Immunofl Ourescencementioning

confidence: 99%

What′s new in cicatricial alopecia?

Dogra¹,

Sarangal²

2013

Indian J Dermatol Venereol Leprol

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Scalp hairs complete the body self-image and patients with alopecia suffer from overt disfiguration, leading to psychosocial embarrassment and significant lack of self-esteem. Hence an early diagnosis and an aggressive treatment in the case of active hair loss are crucial in the management of scarring alopecia. This review presents a comprehensive study of newer theories in aetiopathogenesis, evolving diagnostic modalities and a step ladder approach in management of primary cicatricial alopecia.

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Prevalence of acne keloidalis nuchae in Nigerians

Abstract: Minimization of trauma during hair cutting or shaving and personalization of haircare instruments may reduce the recently increased incidence of this condition in our environment.

Cited by 55 publications

References 7 publications

Acne keloidalis nuchae: prevalence, impact, and management challenges

Acne keloidalis nuchae: prevalence, impact, and management challenges

Diseases of cutaneous appendages

What′s new in cicatricial alopecia?

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