Acne keloidalis nuchae

Condition causing inflamed bumps and scarring at the back of the scalp

Overview

Acne keloidalis nuchae is a skin condition that causes inflammation and the formation of hard, raised bumps on the back of the neck. These bumps may become painful, itchy, and may also lead to scarring. The condition primarily affects people with curly or coarse hair and can be a source of distress and discomfort.

Symptoms

The symptoms of acne keloidalis nuchae include:

  • Bumps on the back of the neck
  • Itching and irritation
  • Pain or tenderness in the affected area
  • Scarring or hyperpigmentation (darkened skin)

Causes

The exact cause of acne keloidalis nuchae is unknown, but several factors may contribute to its development. These include:

  • Hair follicle inflammation: Inflammation of the hair follicles on the back of the neck can lead to the formation of bumps.
  • Hair growth: Curly or coarse hair can sometimes curl back into the skin, causing irritation and inflammation.
  • Friction: Constant rubbing or friction on the back of the neck from tight clothing or certain hairstyles may contribute to the condition.

Treatment

Treatment options for acne keloidalis nuchae include:

  • Medications: Topical or oral medications may be prescribed to reduce inflammation, control itching, and prevent infection.
  • Steroid injections: In some cases, injecting corticosteroids directly into the bumps can help reduce inflammation and promote healing.
  • Surgical intervention: Surgical procedures such as excision or laser therapy may be considered for severe or persistent cases.

Self-care

To manage acne keloidalis nuchae and promote healing, you can:

  • Avoid tight clothing or accessories that can cause friction on the back of the neck.
  • Keep the area clean and avoid picking or squeezing the bumps to prevent further irritation or infection.
  • Use gentle hair care practices and avoid hairstyles that pull or tug at the hair on the back of the neck.

If you suspect you have acne keloidalis nuchae or need further guidance, it is recommended to consult a dermatologist for an accurate diagnosis and appropriate treatment plan.