Treatment of acne keloidalis nuchae
is often difficult.
In our case, we observed papules and nodules of the neck imitating acne keloidalis nuchae
and so the patient was initially treated with oral isotretinoin (13-15).
Differential diagnosis in the early stages are: Acne keloidalis nuchae
, folliculitis decalvans, follicular lichen planus and relapsing staphylococcal folliculitis.
In addition, men of color are prone to develop acne keloidalis nuchae
, which is characterized by red, painful bumps on the scalp.
Less frequent causes were SLE in 5% cases followed by scleroderma, dermatomyositis, keratosis follicularis spinulosa decalvans, aplasia cutis, kerion, follicular mucinosis, pemphigus, dissecting cellulitis of scalp/ pyogenic folliculitis and acne keloidalis nuchae
in 2.5% cases each.