TY - CHAP M1 - Book, Section TI - Acne Keloidalis Nuchae A1 - Kelly, A. Paul A1 - Bayat, Ardeshir A2 - Kelly, A. Paul A2 - Taylor, Susan C. A2 - Lim, Henry W. A2 - Serrano, Ana Maria Anido Y1 - 2016 N1 - T2 - Taylor and Kelly's Dermatology for Skin of Color, 2e AB - KEY POINTSAcne keloidalis nuchae (AKN) initially presents as a folliculitis that often develops into keloid-like papules and plaques.AKN occurs in patients with darkly pigmented skin of color with coarse, curly hair, usually after puberty.Although the older literature implies that AKN only occurs in males, it can also occur in females.Therapy can be medical, surgical, or a combination of both.Excision with second-intention healing is the optimal surgical modality, but the cosmetic outcome can vary.The application of a class I or II topical corticosteroid is the recognized standard medical therapy.Long-pulse diode laser or long-pulse neodymium-doped yttrium aluminium garnet (Nd:YAG) laser therapy may significantly improve some AKN lesions.Initiating treatment as early as possible achieves the best results and improves the likelihood of controlling the disease. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1161546058 ER -