Treatment of Folliculitis in Acne Keloidalis Nuchae (Keloidal Folliculitis) on the Back of the Neck and Scalp

Acne keloidalis nuchae — also known as keloidal folliculitis — is a persistent follicular disorder affecting the back of the neck and occipital scalp. Effectively managing the folliculitis in this presentation requires a sustained, targeted strategy.

Clinical scenario: Folliculitis occurring as acne keloidalis nuchae (keloidal folliculitis) localised to the back of the neck and occipital scalp.

Treatment approach — partial overview

The approach involves a combination of a potent topical corticosteroid together with a prolonged course of systemic antibacterial therapy. The specific agents, their sequencing, and the full treatment algorithm are set out in the complete protocol.

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References

Some authors recommend a combination of a potent topical corticosteroid with prolonged use of an oral antibacterial, such as tetracycline (table III).

DOI: 10.2165/00128071-200405050-00003

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