• Alopecia
• Acniform eruptions
• Benign tumors
• Bullous diseases
• Dermoscopy
• Nevi, melanoma
• Nonmelanoma cancer
• Psoriasis and others
• Stds
• Vascular tumors
• Vulvar disease

• Alopecia - Introduction
• Hair loss and Alopecia Introduction
• Alopecia Approach to the Patient
• Hair loss and Alopecia Physical Examination and Testing
• Non-scarring alopecia
• Hair Loss and Alopecia Introduction
• Alopecia Areata Information
• Alopecia areata - Causes and Associated Conditions
• Alopecia Areata Treatment
• Female Pattern Baldness and Hair Loss in Women
• Female Pattern Baldness and Hair Loss Causes
• Female Pattern Hair Loss Evaluation and Testing
• Female Pattern Hair Loss Treatment
• Male Pattern Baldness and Hair Loss Information
• Male Patern Baldness Causes and Hair Loss
• Hair Loss Treatment and Male Pattern Baldness Medicine
• Sudden Hair Loss Telogen Effluvium
• Course of Sudden Hair Loss Telogen Effluvium
• Evaluation and Treatment of Sudden Hairloss Telogen Effluvium
• Loose Anagen Hair Syndrome
• Hair Loss Due To Hair Pulling - Trichotillomania
• Traction Alopecia Hair Loss
• Traction Alopecia Hair Loss Treatment
• Scarring alopecia
• Hair Loss Alopecia With Scarring Information
• Lichen Planopilaris
• Lichen Planopilaris - Clinical Features
• Lichen Planopilaris Treatment
• Discoid Lupus Erythematosus - Clinical
• Discoid Lupus Erythematosus - Histology
• Discoid Lupus Erythematosus - Treatment
• Central Centrifugal Cicatricial Alopecia
• Follicular Degeneration Syndrome
• Folliculitis Decalvans - Clinical
• Folliculitis Decalvans Treatment
• Dissecting Cellulitis of the Scalp
• Dissecting Cellulites Treatment
• Acne Keloidalis Nuchae Information
• Acne Keloidalis Nuchae Treatment

Acne Keloidalis Nuchae Information

Acne keloidalis nuchae is a folliculitis that occurs on the occipital scalp and results in scarring alopecia. The disease mainly affects African American men, however, African American women and occasionally other ethnic groups may develop the disease. The earliest clinical lesions are follicular papules and occasional pustules. With time these papules become fibrotic with associated hair loss. A small number of patients develop large keloidal type plaques on the nape.

Scalp biopsy demonstrates lympho-plasmacytic inflammation of the upper portions of the follicles early in the course of the disease. Perifollicular fibrosis with loss of sebaceous glands then occurs. Eventually hair follicles are destroyed with resultant hair granulomas. The dermis may develop hypertrophic scarring, however true histologic keloid formation is not observed. The cause of AKN is not known. In the past, close clipping of the curly African American hair was implicated, similar to the pathogenesis of pseudofolliculitis barbae. However, the disease occurs in the absence of this type of hair styling and in other ethnic groups and therefore other factors must contribute to the development of the folliculitis.