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Acne Keloidalis Nuchae

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Pediatric Skin of Color

Abstract

Acne keloidalis nuchae is an acneiform condition with keloidal scarring that is noted in the nuchal area in adolescent and adult males. The disease primarily affects boys of African descent including Blacks, African Americans, Africans, and Afro-Caribbeans, but can be noted in any racial or ethnic grouping. Trauma including shaving of the nuchal scalp, helmets, and friction (e.g., from collars rubbing) can all contribute to disease. Therapy begins with limitation of shaven hairstyles, reduction in friction from clothing and gear, topical and/or oral acne medications, and cosmetic therapies including intralesional corticosteroid therapy, laser hair removal, and excision in severe cases. Disease rarely reaches the severity requiring laser or excision in childhood and the aim of therapeutic interventions is in part reduction of lifetime disease severity through prevention and early disease intervention.

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Author information

Authors and Affiliations

  1. Thomas Jefferson School of Medicine, Philadelphia, PA, USA

    Mishal Reja B.A.

  2. Department of Dermatology, Mt. Sinai St. Luke’s-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11D, New York, NY, 10025, USA

    Nanette B. Silverberg M.D., FAAD, FAAP

Authors
  1. Mishal Reja B.A.
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  2. Nanette B. Silverberg M.D., FAAD, FAAP
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Corresponding author

Correspondence to Nanette B. Silverberg M.D., FAAD, FAAP .

Editor information

Editors and Affiliations

  1. Department of Dermatology, Mt. Sinai St. Luke’s-Roosevelt Hospital and Beth Israel Medical centers, New York, New York, USA

    Nanette B. Silverberg

  2. Department of Pediatric Dermatology, National Institute of Pediatrics, Mexico City, Mexico

    Carola Durán-McKinster

  3. Department of Dermatology, Changi General Hospital, Singapore, Singapore

    Yong-Kwang Tay

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Reja, M., Silverberg, N.B. (2015). Acne Keloidalis Nuchae. In: Silverberg, N., Durán-McKinster, C., Tay, YK. (eds) Pediatric Skin of Color. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6654-3_16

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  • DOI: https://doi.org/10.1007/978-1-4614-6654-3_16

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6653-6

  • Online ISBN: 978-1-4614-6654-3

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