How to Treat Acne Keloidalis Nuchae

Acne keloidalis nuchae, also known as keloidal folliculitis, is a persistent skin condition manifested in inflamed bumps and scarring along the back of the neck. Though these pimple-like bumps appear to be quite similar to common acne, or acne vulgaris, there is actually no link between the two conditions. Indeed, acne keloidalis nuchae is a more serious skin problem which can result in significant scarring if left untreated.

Things You'll Need

  • Physician
  • Benzoyl Peroxide shampoo
  • Topical steroids or retinoids
  • Topical antibiotics
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Instructions

    • 1

      Consult your general physician or dermatologist to ensure that what you have is indeed a case of acne keloidalis nuchae. Your doctor can prescribe the best course of treatment.

    • 2

      Talk to your doctor about the causes and triggers of this skin condition, so that you fully understand what external factors can exacerbate the acne and thus, what to avoid. For example, this type of chronic acne can be made worse by a close shave, use of greasy hair pomades and gels or a too-short haircut.

    • 3

      Begin the course of skin therapy as prescribed by your doctor, which usually includes washing gently with a benzoyl peroxide shampoo and the use of topical steroids or retinoids to treat the acne keloidalis nuchae on the back of the neck.

    • 4

      Use any topical antibiotics prescribed to treat the affected area as prescribed by your doctor, generally applying these creams to the skin twice daily. Make sure to consult with your doctor if the antibiotic treatment does not produce a noticeable improvement after 4 to 5 days.

    • 5

      Discuss the options of radiation therapy or laser therapy to treat the acne if the condition does not improve over the course of standard treatment. These types of therapy generally lead to long-lasting improvements in the affected skin.

Tips & Warnings

  • Do not scrub the affected areas of the skin as you cleanse, as this can further irritate skin and worsen the acne. Avoid wearing any close-fitting headgear or high shirt collars that rub against the back of the neck, since these can also irritate existing cases of acne keloidalis nuchae.

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