Acne Keloidalis Nuchae: Causes, Symptoms & Treatment

Written by Medicover Team and Medically Reviewed by Dr Anusha Nagral Reddy , Dermatologist

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Acne Keloidalis Nuchae (AKN) is a long-term skin condition that mostly affects the back of the neck and lower part of the scalp. It is usually seen in people with curly or tightly coiled hair and is more common in men, especially those with darker skin tones.

Though the name includes "acne" and "keloid", it is actually a type of folliculitis (infection or inflammation of hair follicles) that can lead to scarring.

In the beginning, small, itchy bumps appear near the hair roots. Over time, these can join together and form thick, raised scars that look like keloids.

AKN can be painful and may affect day-to-day comfort and confidence. Getting the right treatment early can help control the symptoms and stop the condition from getting worse.

What are the Common Causes and Risk factors of Acne Keloidalis Nuchae?

Acne Keloidalis Nuchae develops due to a mix of genetic, hair-related, and environmental factors. Knowing the causes and risks can help in early prevention and better management.

Acne Keloidalis Nuchae Causes

• Genetic Tendency: If someone in your family has had AKN, you're more likely to get it too. Genes can affect how your hair grows and how your skin reacts to irritation or injury.
• Hair and Skin Type: People with curly or tightly coiled hair are more prone, as the hair can curl back into the skin and cause inflammation. Some skin types also tend to scar easily, which can make the condition worse.
• Mechanical Irritation: Constant friction or pressure from collars, helmets, or even shaving the back of the neck can irritate hair follicles, increasing the chances of AKN bumps and scars.

Acne Keloidalis Nuchae Risk Factors

• Male gender, especially in younger age groups
• Frequent shaving or close haircuts
• Wearing tight collars or high-neck uniforms
• Warm, humid climates causing sweating and friction

If you notice small itchy bumps or irritation on the back of your neck, especially if you have curly hair or shave that area often, it's best to consult a skin specialist.

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What are the Symptoms of Acne Keloidalis Nuchae?

Acne Keloidalis Nuchae often starts with mild symptoms but can gradually worsen if not treated in time. Early identification helps in controlling the condition and avoiding permanent scarring.

• Early Signs:

• Small, itchy, firm bumps (papules) around hair follicles.
• Slight redness or tenderness in the affected area.

• Progression:

• Papules may merge into larger plaques or nodules.
• Painful or infected lesions may develop, forming pustules or abscesses.

• Scarring:

• Advanced AKN leads to firm, raised scars resembling keloids.
• These scars can be disfiguring and uncomfortable.

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How Acne Keloidalis Nuchae (AKN) Is Diagnosed?

Diagnosis of Acne Keloidalis Nuchae starts with a careful check-up of the affected area by our skin specialists. Early and correct diagnosis is very important to plan the right treatment.

Diagnostic Steps

• Physical Examination: Our doctors will closely look at the bumps, scars, and other signs on your neck and scalp.
• Skin Biopsy: Sometimes, a small piece of skin may be taken to confirm the problem and rule out other skin diseases.
• Blood Tests: If needed, blood tests are done to check for infections or any inflammation.
• Imaging Tests: In severe cases, ultrasound or MRI may be advised to see how deep the problem is.

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What are the Treatment Options for Acne Keloidalis Nuchae (AKN)?

Medical Treatments

Topical Treatments

• Corticosteroids to reduce inflammation and itching.
• Antibiotic creams or gels for secondary infections.

Oral Medications

• Oral antibiotics or anti-inflammatory drugs for severe cases.
• These help control infection and reduce inflammation.

Surgical Treatments

Excision

For advanced cases with significant scarring, surgical excision may be required. This Acne Keloidalis Nuchae Treatment involves removing the affected tissue and may be followed by skin grafting to promote healing.

Laser Therapy

Laser therapy is another option for treating Acne Keloidalis Nuchae Surgery. This approach can help reduce the size of lesions and minimize scarring. Laser treatments target the hair follicles and can reduce the likelihood of recurrence.

Home Remedies and Lifestyle Changes

Proper Grooming Practices

Avoiding close shaves and using gentle hair removal methods can help prevent irritation and ingrown hairs. It's also advisable to keep the affected area clean and dry to reduce the risk of infection.

Moisturizing

Using non-comedogenic moisturizers can help soothe the skin and reduce itching. Products containing ingredients like aloe vera or tea tree oil can provide additional anti-inflammatory benefits.

Dietary Changes

Some individuals find that dietary changes, such as reducing sugar and dairy intake, can help manage their symptoms. While there is limited scientific evidence supporting these claims, maintaining a healthy diet can contribute to overall skin health.

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When to See a Doctor for Acne Keloidalis Nuchae?

If you see small bumps or irritation at the back of your neck that does not get better even after one or two weeks, it is best to visit a doctor. Early treatment can stop the problem from getting worse and prevent permanent scars.

Consult a Doctor If You Have

• Itchy bumps that are growing or spreading
• Painful or pus-filled sores on the affected area
• Thick, hard skin with raised scars
• Symptoms lasting more than 2 weeks without any improvement

People Who Should See Doctor Early

• Men with curly or coiled hair
• Those who shave or trim the back of the neck often
• People who wear tight collars or helmets regularly
• Anyone with family history of similar skin problems

At Medicover, our dermatologist provide proper treatment to cure your symptoms and stop further damage, so you get the best care at the right time.

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What Is the Recovery Process After Acne Keloidalis Nuchae (AKN) Treatment?

Recovery from AKN depends on how severe the condition is and how soon you start treatment. At Medicover, we support you through every step to make sure you get the best results.

• Follow-Up Schedule: You will have regular check-ups every few weeks so doctors can see how your skin is healing and change the treatment if needed.
• Lifestyle Tips: Avoid wearing tight collars, helmets, and harsh shaving around the neck. Use mild hair care products to prevent irritation.
• Diet Advice: Eat a healthy and balanced diet with good vitamins and minerals to help your skin recover.
• Long-Term Outlook: With proper care and follow-up, most patients improve a lot. Still, keeping an eye on your skin is important to avoid the problem coming back.

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What Precautions Can Help Prevent Acne Keloidalis Nuchae?

Prevention

• Keep checking the back of your neck regularly for any bumps or irritation. Early treatment can stop AKN from getting worse.
• Avoid things that cause irritation like tight clothes, helmets, or rough shaving habits.
• Use gentle shampoos and avoid shaving too close in that area.

Complications

• If not treated, AKN can turn into painful scars and thick keloid-like lumps.
• It may cause discomfort and affect your daily life or confidence.

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Our Experience Treating Acne Keloidalis Nuchae

At Medicover, our skin specialists have a lot of experience treating AKN with personalised plans. We use the best medical treatments along with lifestyle advice and regular follow-ups to give you the best care.

Our advanced facilities and patient-friendly approach make us a trusted choice for your skin health.

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