Surgical excision of acne keloidalis nuchae with secondary intention healing

Surgical excision of acne keloidalis nuchae with secondary intention healing
Published article online:
10 Oct 2007
Issue online:
19 Dec 2007
Accepted for publication 8 June 2007
To cite this article: V. Bajaj, J. A. A. Langtry (2008)
Surgical excision of acne keloidalis nuchae with secondary intention healing
Clinical and Experimental Dermatology 33 (1), 53Ò55.
doi:10.1111/j.1365-2230.2007.02549.x
Blackwell Synergy

V. Bajaj and J. A. A. Langtry*

Departments of Dermatology, University Hospital of North Durham, Durham, UK, and *Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
Dr Vrinda Bajaj, Department of Dermatology, University Hospital of North Durham, North Road, Durham, DH1 5TW, UK.

E-mail: vrinda_bajaj@hotmail.com
Conflict of interest: none declared.

Conflict of interest: none declared.

Summary

Acne keloidalis nuchae (AKN) is a chronic scarring folliculitis that presents clinically as follicular papules and pustules. These can coalesce into firm hypertrophic plaques and nodules on the nape of the neck, most commonly affecting young adult men. Treatment includes topical steroids/antibiotics and oral antibiotics, but often has disappointing results. Surgical approaches include excision with primary closure or skin grafting, and hair-removal lasers. Another surgical approach is excision with secondary intention healing. This can result in good cosmesis with little or no recurrence. We report two men with AKN where treatment by excision with secondary intention was successful.

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