What are the treatment options for acne keloidalis nuchae?

This condition affects hair follicles around the back of the scalp and neck. Small itchy or tender bumps can enlarge and join into firm raised scars. Close shaving, tight collars, helmet friction and repeated rubbing may aggravate the area. Treating early lesions is usually easier than managing established scarring.

Steroid injection into the skin can calm inflammation and soften selected raised lesions. Laser hair removal may reduce follicle-related irritation when hair contributes to repeated bumps. Oral antibiotics for acne may be prescribed when there is active inflammation or infection. Keep haircuts away from the affected skin, avoid picking, choose loose collars and cleanse gently. A dermatologist may combine approaches and review the area over time; established thick scars may need a different procedure if they remain troublesome.

Seek dermatology advice for recurring bumps, itch, tenderness, drainage or hair loss at the nape. Prompt review is appropriate if redness spreads, pain increases, fever develops or a lesion bleeds or changes rapidly. Early assessment can separate this condition from folliculitis, infection or another type of scalp lump.

Ask whether the bumps are inflamed follicles or established scars, which friction or haircut habits to change, and whether injections, hair reduction or oral treatment fits your skin. Ask how to protect the area after each treatment.