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Acne keloidalis nuchae most commonly presents itself in individuals aged 13 to 25. [3] The disease is closely related to pseudofolliculitis barbae and both occur frequently in black men in the military, where it is so common that the US Army has developed official protocols for management. [ 4 ]
Acne (/ˈækni/ ACK-nee), also known as acne vulgaris, is a long-term skin condition that occurs when dead skin cells and oil from the skin clog hair follicles. [10] Typical features of the condition include blackheads or whiteheads , pimples , oily skin, and possible scarring .
Tufted folliculitis presents with doll's hair-like bundling of follicular units, and is seen in a wide range of scarring conditions including chronic staphylococcal infection, chronic lupus erythematosus, lichen planopilaris, Graham-Little syndrome, folliculitis decalvans, acne keloidalis nuchae, immunobullous disorders, and dissecting cellulitis.
Tretinoin is a potent treatment that helps even out any scarring after a few months. It is added as a nightly application of tretinoin cream 0.05–0.1% to the beard skin while beard is growing out. It is added as a nightly application of tretinoin cream 0.05–0.1% to the beard skin while beard is growing out.
In severe cases, it can affect movement of skin. In the United States, keloid scars are seen 15 times more frequently in people of sub-Saharan African descent than in people of European descent. [3] There is a higher tendency to develop a keloid among those with a family history of keloids and people between the ages of 10 and 30 years. [4]
Acne necrotica presents with a primary lesion that is a pruritic or painful erythematous follicular-based papule that develops central necrosis and crusting and heals with a varioliform scar. [ 1 ] : 650 [ 2 ] : 761
Acne miliaris necrotica is a severe form of folliculitis of typically the scalp. [2] It presents as multiple fluid-filled bumps, sometimes occurring as solitary lesions that are usually very itchy. [1] Shortly after appearing, the bumps burst and dry up. [1] There may be scarring. [1]
In 1905 it was then differentiated from other scarring alopecias and the name Folliculitis decalvans, that remains current, was introduced. About 11% of the occurrences of scarring alopecias are of this type. Men are more commonly affected than women and its appearance is usually between the late teens and middle adult years.