Folliculitis keloidalis

Folliculitis keloidalis: Description, Causes and Risk Factors: Alternative Name: Acne keloid. ICD-10: L73.0. A chronic eruption of fibrous papules that develop at the site of deep folliculitis, usually on the back of the neck at the hairline. Folliculitis keloidalisFolliculitis keloidalis literally means "scarring acne of the neck." It is an unusual skin condition that commonly affects adult black males and other darker-skinned individuals with curly hair. The condition may persist for many years. Folliculitis keloidalis is most frequent found in Afro-American young adult men, and is characterized by the presence of keloid-like cutaneous lesions on the back of the scalp and neck. In the USA, folliculitis keloidalis represents 0.45% of skin disorders affecting blacks. The prevalence of folliculitis keloidalis within their dermatology unit was 0.37%. It does also occur in other racial groups including Hispanics and Asians, but it is rarely seen in Caucasians. The exact etiology of folliculitis keloidalis remains unknown. One postulation is that chronic irritation and inward growth of coarse curved hairs may play a role in the development of these lesions. This leads to the development of papules, which may become infected and in the long-term leads to scarring with the development of keloid lesions. Other postulated important contributory factors include constant friction from the hand, shirt collars or helmets and a short, stocky neck. Risk factors of folliculitis keloidalis are as follows: Regular use of antiepileptic drugs.
  • Irritation of shirt's collar regularly.
  • Sometime systemic steroid therapy may cause this illness.
Symptoms: Symptoms experienced by sufferers include itch and pain at the affected sites. Often spots areseen with and without keloidal scarring, on the posterior scalp and neck. Some of these spotsmay drain pus. Occasionally, the spots may be seen on the crown. If the involved areas arelarge, patchy or complete hair loss occurs. Some sufferers may also have evidence ofspots/bumps in the beard area. Diagnosis: Diagnosis is based on culture and sensitivity testing of folliculitis keloidalis pustules and draining sinuses should be considered.
  • A biopsy may be performed if the clinical presentation is atypical and to exclude other possible condition.
  • Histological examination may be performed.
Treatment: Unfortunately, folliculitis keloidalis tends to be chronic and often persists despite a variety of treatments. There is no known cure. For this reason, preventing the development of folliculitis keloidalis is important, and men of African descent should be educated about hair care practices to help prevent the onset of folliculitis keloidalis. Topical steroids may be useful for mild disease. Some time cryotherapy may be used for the treatment of warts. This can be associated with pigmentation changes at the site and this may last for 12-18 months or permanently. Individual spots or keloids can also be surgically removed via various techniques. Apart from this certain types of laser therapy may also be used in treatment of folliculitis keloidalis. NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.


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