RT Book, Section A1 Kelly, A. Paul A1 Bayat, Ardeshir A2 Kelly, A. Paul A2 Taylor, Susan C. A2 Lim, Henry W. A2 Serrano, Ana Maria Anido SR Print(0) ID 1161546058 T1 Acne Keloidalis Nuchae T2 Taylor and Kelly's Dermatology for Skin of Color, 2e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071805520 LK accessmedicine.mhmedical.com/content.aspx?aid=1161546058 RD 2024/10/11 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.