Acne keloidalis nuchae, also known as keloidal folliculitis or nuchal keloidal acne, is a chronic skin condition characterized by inflamed bumps and scars on the back of the neck.

Although it is not related to common acne (acne vulgaris), acne keloidalis nuchae initially appears as acne-like lesions of inflamed hair follicles (folliculitis) on the nape of the neck (nuchal area) and, without treatment, can result in large scars (keloids).

Who's at risk?

Acne keloidalis nuchae is most commonly found in young adult men of African or, less commonly, Latino or Asian descent. It is very uncommon in women. In addition, acne keloidalis nuchae is very rarely seen in people prior to puberty or after middle age.

Signs and Symptoms.

The most common locations of acne keloidalis nuchae include:

Back of the neck (posterior neck)
Lower back of the scalp (occipital scalp)
Initially, lesions of acne keloidalis nuchae appear as red or pus-filled bumps, which may be tender or itchy. Over time, these inflamed bumps develop into small scars. Without treatment, the small scars can coalesce into large, thick scars, or keloids. Areas of widespread scarring may be associated with hair loss. Rarely, advanced acne keloidalis nuchae lesions can develop deep pockets of pus with connections to the surface of the skin, and a foul-smelling discharge may ooze from these sinus tracts.

Treatments.

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