This image displays the back of the neck at the hairline that is affected by acne keloidalis nuchae. This image displays fairly small lesions of acne keloidalis nuchae. Numerous smooth, scar-like, small, raised lesions at the back of the neck are typical of acne keloidalis nuchae. This image displays a person with a variant of acne keloidalis nuchae, displaying depressed scars rather than thick keloids. The back of the scalp and neck is the typical location for acne keloidalis. This image displays acne keloidalis that has been aggravated by rubbing and scratching. This image displays round, smooth bumps typical of acne keloidalis nuchae. This image displays smooth, firm lesions typical of acne keloidalis nuchae. The lesions of acne keloidalis nuchae can be focused in a limited area at the back of the neck or scalp, as displayed in this image.
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Acne Keloidalis Nuchae  Information for adults

Picture of Acne Keloidalis Nuchae: This image displays the back of the neck at the hairline that is affected by acne keloidalis nuchae. Divider line
This image displays the back of the neck at the hairline that is affected by acne keloidalis nuchae.
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Treatments Your Provider May Prescribe
The prognosis of acne keloidalis nuchae is good if treatment is started early.

Topical creams, lotions, or gels may include:
  • A retinoid cream such as tretinoin, tazarotene, or adapalene.
  • A prescription-strength steroid or cortisone preparation.
  • An antibiotic such as clindamycin.
Oral medications may include:
  • Antibiotic pills.
  • A short course of steroids, such as prednisone (for severe or advanced cases only).
Procedures to reduce inflammation and reduce or remove scar tissue include:
  • Steroid injections directly into the inflamed bumps or scars.
  • Surgical excision of single bumps or larger scars.
  • Laser destruction.
  • Liquid nitrogen (freezing or cryotherapy).
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Last Modified: 22 Dec 2008
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