Folliculitis Keloidalis Nuchae

I.          Definition:
 
Folliculitis keloidalis nuchae is a chronic skin condition involving the back of the neck and scalp.  This condition usually occurs in African American men between the ages of 15-30 but can last longer.  Folliculitis keloidalis nuchae is very difficult to treat.
 
 
II.          Causes:
 

• Folliculitis keloidalis nuchae occurs in people with very curly hair.  The hair grows back into the scalp or neck causing inflammation and tenderness which can lead to infection.  Over a long period of time the areas form keloidal scars that look like hard bumps. 
• The condition is more common in people that have a tendency toward acne. 
• The use of hair pomade containing lanolin can contribute to this problem. Check the label on any pomade you are using and make sure it does not contain lanolin.

 
III.          Treatment:
 

• Antibiotic lotion or pills can help keep the condition under control.  There is no cure; however the problem usually improves with time.
• Tend Skin is an effective treatment for this condition.  This is available from us here at the office.
• Washing the back of the neck and scalp with Lever 2000 soap using a Buf-Puf helps raise the hairs from under the skin and prevents them from growing back into the skin.  This should be done twice a day.  Buf-Pufs are available without a prescription at your local drug store.
• Cortisone injections can help minimize keloidal scarring.
• Some areas may require surgical drainage.
• Severe cases may require plastic surgery.