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DermAtlas: OCCIPUT - acne keloidalis
© 2001-2010, DermAtlas
Image Name: Acne_Keloidalis_2_050508   File Type: jpg
Diagnosis: ACNE KELOIDALIS /
SCAR /
PSEUDOFOLLICULITIS
  Category: hair disorders /
treatment
Body Site: occiput / scalp   Age: 27 years
Contributor: Sugathan Paramoo, MD, FRCP(Glasg)    
Description: well healed hypopigmented, fibrotic papules with surrounding hyperpigmentation
Comments: This 27-year-old man had laser epilation of the acne keloidalis nuchae lesions which had been troubling him for the past 2 years. They failed to respond to multiple oral antibiotics and topical therapy. Using a CO2 laser the affected area was epilated and the condition improved significantly
Related Images: Acne_Keloidalis_1_050508 

DermAtlas: OCCIPUT - acne keloidalis
© 2001-2010, DermAtlas
Image Name: Acne_Keloidalis_1_050508   File Type: jpg
Diagnosis: ACNE KELOIDALIS /
PSEUDOFOLLICULITIS /
KELOID
  Category: hair disorders
Body Site: occiput / scalp   Age: 27 years
Contributor: Sugathan Paramoo, MD, FRCP(Glasg)    
Description: confluent fibrotic violaceous papules
Comments: This 27-year-old man had laser epilation of the acne keloidalis nuchae lesions which had been troubling him for the past 2 years. They failed to respond to multiple oral antibiotics and topical therapy. Using a CO2 laser the affected area was epilated and the condition improved significantly
Related Images: Acne_Keloidalis_2_050508 

DermAtlas: SCALP - acne keloidalis nuchae
© 2001-2010, DermAtlas
Image Name: acne_keloidalis_nuchae_2_041117   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
SCAR /
KELOID /
PSEUDOFOLLICULITIS
  Category: hair disorders
Body Site: scalp / neck   Age: 33 years
Contributor: Sugathan Paramoo, MD, FRCP(Glasg)    
Description: symmetric follicular purplish brown papules and nodules
Comments: A 33-year-old travelling salesman reported complined of recurrent painful and sometime itchy papules on the back of head just above the hair line. Antibiotics gave only temporary relief. Lesions started insidiously on the nape of the neck and extended to the side. Lesions resolved after epilation laser therapy. He also stopped wearing tight shirts with collars and neck ties.
Related Images: acne_keloidalis_nuchae_1_041117 

DermAtlas: NECK - acne keloidalis nuchae
© 2001-2010, DermAtlas
Image Name: acne_keloidalis_nuchae_1_041117   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
KELOID /
SCAR /
PSEUDOFOLLICULITIS
  Category: lumps & bumps (plaques, nodules, tumors) /
hair disorders
Body Site: neck   Age: 34 years
Contributor: Abhay Martin, MD    
Description: symmetric follicular purplish brown papules and nodules
Comments: A 33-year-old travelling salesman reported complined of recurrent painful and sometime itchy papules on the back of head just above the hair line. Antibiotics gave only temporary relief. Lesions started insidiously on the nape of the neck and extended to the side. Lesions resolved after epilation laser therapy. He also stopped wearing tight shirts with collars and neck ties.
Related Images: acne_keloidalis_nuchae_2_041117 

DermAtlas: FACE - pseudofolliculitis
© 2001-2010, DermAtlas
Image Name: pseudofolliculitis_and_ice_pic_scar_1_040606   File Type: jpg
Diagnosis: PSEUDOFOLLICULITIS   Category: acneiform /
hair disorders
Body Site: face / cheek   Age: 32 years
Contributor: Kosman Sadek Zikry, MD    
Description: perifollicular inflammatory papules
Comments: These lesions erupted following shaving and improved after his beard regrew.

DermAtlas: SCALP - acne keloidalis nuchae
© 2001-2010, DermAtlas
Image Name: acne_keloidalis_nuchae_1_040524   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
PSEUDOFOLLICULITIS /
KELOID /
SCABIES
  Category: hair disorders
Body Site: scalp / occiput
neck
  Age: 40 years
Contributor: Shahbaz A. Janjua, MD    
Description: fibrotic violaceous plaque studded with firm follicular papules and nodules
Comments: This 40-year-old man had a 2 year history of multiple, painful, pruritic, pustules on his occiput and upper posterior neck. As the pustules resolved a firm rubbery plaque studded with follicular papules and nodules developed. He was treated with topical tretinoin and oral antibiotics.
Related Images: All related Images  acne_keloidalis_nuchae_3_040524  acne_keloidalis_nuchae_2_040524 

DermAtlas: SCALP - acne keloidalis nuchae
© 2001-2010, DermAtlas
Image Name: acne_keloidalis_nuchae_2_040524   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
KELOID /
PSEUDOFOLLICULITIS /
SCAR
  Category: hair disorders
Body Site: scalp / occiput
neck
  Age: 40 years
Contributor: Shahbaz A. Janjua, MD    
Description: fibrotic violaceous plaque studded with firm follicular papules and nodules
Comments: This 40-year-old man had a 2 year history of multiple, painful, pruritic, pustules on his occiput and upper posterior neck. As the pustules resolved a firm rubbery plaque studded with follicular papules and nodules developed. He was treated with topical tretinoin and oral antibiotics.
Related Images: All related Images  acne_keloidalis_nuchae_3_040524  acne_keloidalis_nuchae_1_040524 

DermAtlas: SCALP - acne keloidalis nuchae
© 2001-2010, DermAtlas
Image Name: acne_keloidalis_nuchae_3_040524   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
PSEUDOFOLLICULITIS /
SCAR /
KELOID
  Category: hair disorders
Body Site: scalp / occiput
neck
  Age: 40 years
Contributor: Shahbaz A. Janjua, MD    
Description: fibrotic violaceous plaque studded with firm follicular papules and nodules
Comments: This 40-year-old man had a 2 year history of multiple, painful, pruritic, pustules on his occiput and upper posterior neck. As the pustules resolved a firm rubbery plaque studded with follicular papules and nodules developed. He was treated with topical tretinoin and oral antibiotics.
Related Images: All related Images  acne_keloidalis_nuchae_2_040524  acne_keloidalis_nuchae_1_040524 

DermAtlas: SCALP - acne keloidalis nuchae
© 2001-2010, DermAtlas
Image Name: Acne_Keloidalis_Nuchae_1_030414   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
PSEUDOFOLLICULITIS /
SCAR
  Category: hair disorders
Body Site: scalp   Age: 20 years
Contributor: Douglas Hoffman, MD    
Description: confluent purplish-brown fibrotic papules and nodules
Comments: This 20-year-old man developed itchy fibrotic confluent papules and nodules on the back of his scalp. The keloids responded partially to intralesional steroids.

DermAtlas: FACE - hirsutism
© 2001-2010, DermAtlas
Image Name: hirsutism_1_020310   File Type: jpg
Diagnosis: HIRSUTISM /
PSEUDOFOLLICULITIS /
FOLLICULITIS /
ACNE VULGARIS
  Category: hair disorders
Body Site: face / cheek   Age: 27 years
Contributor: Kosman Sadek Zikry, MD    
Description: coarse dark terminal hair, follicular papules and pustules
Comments: A 27 year old woman developed chronic follicular papules and pustules after she began shaving coarse terminal hair on her cheeks. She was well without signs of hyperandrogenism, and other women in her family including her mother had prominent facial hair.

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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Jul-19-2010
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