Acne Keloidalis Nuchae

Figure 3.2 A: Acne conglobata, shoulder B: Acne keloidalis nuchae

• Chronic folliculitis of occipital scalp and posterior neck in men of African, Hispanic or Asian descent
• Presents initially as inflammatory follicular papules and pustules which over time evolve into firm, dome-shaped papules with fibrosis, ± coalesce into keloidal plaques
• Treatment: tretinoin gel, topical and/or systemic antibiotics, punch excision or intralesional corticosteroid injection for papules or keloids