How do you treat Keloidalis acne?
Treatment usually involves use of topical, intralesional or systemic steroids in combination with retinoids and/or antibiotics to decrease inflammation [14, 15]. When the disease progresses from early to late stage, surgical excision and skin grafting may be performed, which require long periods of healing.
Does Keloidalis acne hurt?
Acne keloidalis nuchae (AKN) involves inflammation at the back of the scalp. It can cause an itchy rash, swollen, painful hair follicles, and sometimes pus-filled bumps. Scarring can occur also occur as a result of AKN, and the scars may be stiff and raised. Some people may also experience hair loss in the area.
How does acne Keloidalis Nuchae start?
Acne keloidalis nuchae develops when inflammatory cells go into your hair follicles on your neck, leading to damage of the follicle wall and the sebaceous or oil-secreting gland. This ruptures the follicle and kickstarts the inflammatory process.
How do I get rid of the bumps on the back of my neck?
- Wash the area gently with non-irritating cleansers (no hard scrubbing!).
- Avoid head wear (such as sports helmets) and shirt collars that rub against the back of your neck.
- Avoid closely shaving of the back of your neck.
- For itchy lesions, try an over-the-counter cortisone cream.
How do you prevent AKN?
While it’s not clear how to prevent or cure AKN, the goal for treating AKN is to stop it from getting worse.
- Do not scratch, pick, or rub (such as shirt collars and hats) the back of your neck.
- Do not get short haircuts or use razors or electric hair clippers on the back of your neck.
Is acne Keloidalis curable?
Acne keloidalis nuchae may not have a known cure, but it can be treated by avoiding triggers and using a combination of treatments recommended by your doctor.
What does acne Keloidalis Nuchae look like?
Initially, lesions of acne keloidalis nuchae appear as red or pus-filled bumps, which may be tender or itchy. Over time, these inflamed bumps develop into small scars. Without treatment, the small scars can coalesce into large, thick scars, or keloids. Areas of widespread scarring may be associated with hair loss.
What does Decalvans mean?
Folliculitis decalvans is derived from Latin and means inflammation of the hair root associated with hair loss.
How do you treat AKN?
Treatment of AKN includes suppression of the inflammation with antibiotics and steroid gels or intralesional steroid injections. Larger bumps of AKN present for a while or if not responding to treatments may need surgical removal. Unfortunately, to prevent regrowth they need to be cut out widely and deeply.
How can I prevent acne keloids?
To get the protection you need, use a sunscreen that offers SPF 30 or higher, broad-spectrum protection, and water resistance. As soon as the wound heals, begin using silicone sheets or gel. Applying silicone sheets or gel can help prevent keloids from forming and reduce the size of existing scars.
Is acne a skin disease?
Acne is a skin disease involving the oil glands at the base of hair follicles. It affects 3 in every 4 people aged 11 to 30 years. It is not dangerous, but it can leave skin scars. Treatment depends on how severe and persistent it is.