Folliculitis Keloidalis Nuchae

I. Definition:
Folliculitis keloidalis nuchae is a chronic skin condition involving the
back of the neck and scalp. This condition usually occurs in African American men between
the ages of 15-30 but can last longer. Folliculitis keloidalis nuchae is very difficult to
treat.
II. Causes:
- Folliculitis keloidalis nuchae occurs in people with very curly hair. The
hair grows back into the scalp or neck causing inflammation and tenderness which can lead
to infection. Over a long period of time the areas form keloidal scars that look like hard
bumps.
- The condition is more common in people that have a tendency toward acne.
- The use of hair pomade containing lanolin can contribute to this problem.
Check the label on any pomade you are using and make sure it does not contain lanolin.
III. Treatment:
- Antibiotic lotion or antibiotic
pills can help keep the condition under control. There is no cure; however the problem
usually improves with time.
- Washing the back of the neck and scalp with Lever 2000 soap using a
Buf-Puf helps raise the hairs from under the skin and prevents them from growing back into
the skin. This should be done twice a day. Buf-Pufs are available without a prescription
at your local drug store.
- Cortisone injections can help minimize keloidal scarring.
- Some areas may require surgical drainage.
- Severe cases may require plastic surgery.
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