ISSN: 2155-9554
+44 1478 350008
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Pennsylvania, USA
Case Report
Acne Keloidalis Nuchae is Not the Same as a Keloid: A Case Report of
Successful Excision with Healing by Secondary Intention
Author(s): Cassandra A Ligh and Paris D Butler*
Introduction: Acne keloidalis nuchae (AKN) is a chronic folliculitis along the nape of the neck and occipital scalp that results in scarring alopecia and disfiguring keloid-like plaques often associated with infection, pain, bleeding, malodor, and progression in size. AKN appears similar to keloids, yet there are differences in pathophysiology. These two cases highlight a surgical treatment course for AKN that plastic surgeons can incorporate into their practice.
Methods: Two case studies of 25-year-old African-American males with several year histories of keloid-like masses of the posterior scalp that had been medically managed as keloids and presented to clinic for second opinions. They underwent local wide excision of AKN masses that included the posterior hairline and at least 0.5-centimeters of healthy tissue margin, followed by secondary.. View More»