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DermAtlas: SCALP - acne keloidalis
© 2001-2009, DermAtlas
Image Name: acne_keloidalis_nuchae_1_080209   File Type: jpg
Diagnosis: ACNE KELOIDALIS /
ACNE KELOIDALIS NUCHAE
  Category: acneiform
Body Site: scalp / neck   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: symmetric, 1-3 mm, fibrotic skin colored, hypopigmented, and violaceous papules
Comments: This healthy 16-year-old boy developed follicular pustules on the back of his scalp which healed with itchy papules. This followed shaving of the back of the scalp. Treatment consisted of topical steroids and discontinuation of the shaving with hair cuts. The initial eruption of pustules was treated with oral minocycline and topical benzoyl peroxide.
Related Images: acne_keloidalis_nuchae_2_080209 

DermAtlas: SCALP - acne keloidalis
© 2001-2009, DermAtlas
Image Name: acne_keloidalis_nuchae_2_080209   File Type: jpg
Diagnosis: ACNE KELOIDALIS /
ACNE KELOIDALIS NUCHAE
  Category: acneiform
Body Site: scalp / neck   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: symmetric, 1-3 mm, fibrotic skin colored, hypopigmented, and violaceous papules
Comments: This healthy 16-year-old boy developed follicular pustules on the back of his scalp which healed with itchy papules. This followed shaving of the back of the scalp. Treatment consisted of topical steroids and discontinuation of the shaving with hair cuts. The initial eruption of pustules was treated with oral minocycline and topical benzoyl peroxide.
Related Images: acne_keloidalis_nuchae_1_080209 

DermAtlas: SCALP - acne keloidalis nuchae
© 2001-2009, 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
© 2001-2009, 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: CHEST - keloid
© 2001-2009, DermAtlas
Image Name: Striae_and_chest_keloid_4_040620   File Type: jpg
Diagnosis: KELOID /
ACNE KELOIDALIS NUCHAE /
ACNE KELOIDALIS
  Category: neoplasm, benign /
linear eruptions
Body Site: chest   Age: 28 years
Contributor: Kosman Sadek Zikry, MD    
Description: violaceous fibrotic smooth topped papules and linear plaques
Comments: This healthy 28-year-old man developed stretch marks on his hips and axillae following 20 intralesional corticosteroid injections for keloids. He had a family history of keloids.
Related Images: All related Images  Striae_and_chest_keloid_1_040620  Striae_and_chest_keloid_2_040620  Striae_and_chest_keloid_3_040620 

DermAtlas: SCALP - acne keloidalis nuchae
© 2001-2009, 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
© 2001-2009, 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
© 2001-2009, 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: NECK - acne keloidalis nuchae
© 2001-2009, DermAtlas
Image Name: Acne_Keloidalis_Nuchae_1_040329   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
ACANTHOSIS NIGRICANS /
SCAR
  Category: lumps & bumps (plaques, nodules, tumors) /
hyperpigmentation
Body Site: neck   Age: 21 years
Contributor: Douglas Hoffman, MD    
Description: hyperpigmentation and velvety thickening of the skin creases; multiple firm papules at the nape of the neck
Comments: This obese 21-year-old man with acne keloidalis nuchae and acanthosis nigricans was referred for possible intralesional steroid treatment of the keloids which were itchy at times. There was no evidence of inflammatory acne or infection.

DermAtlas: AXILLA (ARMPIT) - acne keloidalis nuchae
© 2001-2009, DermAtlas
Image Name: Acne_keloidalis_nuchae_1_030713   File Type: jpg
Diagnosis: ACNE KELOIDALIS NUCHAE /
ACANTHOSIS NIGRICANS
  Category: infections and infestations /
lumps & bumps (plaques, nodules, tumors) /
hyperpigmentation
Body Site: axilla (armpit) / trunk   Age: 40 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, grouped, firm, dome-shaped, follicular papules and nodules
Comments: This 40-year-old man, who had acanthosis nigricans for the last several years, developed a chronic folliculitis and perifolliculitis of the occipital scalp and posterior neck. Pustules healed with firm violaceous follicular papules and nodules over three years. He developed similar lesions on his back and flanks below the axillae. He was treated with topical tretinoin and oral antibiotics.
Related Images: All related Images  Acne_keloidalis_nuchae_4_030713  Acne_keloidalis_nuchae_3_030713  Acne_keloidalis_nuchae_2_030713 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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