Three Cases of Acne Keloidalis Nuchae.
- Author:
Soo Keun LEE
1
;
Hoon KANG
;
Sook Ja SON
Author Information
1. Department of Dermatology, National Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Acne keloidalis nuchae;
Plasma cell
- MeSH:
Acne Keloid*;
Acne Vulgaris*;
Adult;
Cicatrix;
Fibrosis;
Hair;
Humans;
Inflammation;
Injections, Intralesional;
Middle Aged;
Neutrophils;
Peas;
Plasma Cells;
Scalp;
Sebaceous Glands;
Skin;
Triamcinolone;
Young Adult
- From:Korean Journal of Dermatology
1996;34(2):336-340
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report three cases of acne keloidalis nuchae which showing typical clinical and histopathological findings. A 61-year-old man showed well-defined child-fist sized erythematous to skin-colored hard plaque on his posterior scalp since two years ago and was treated by surgical excision and skin graft(STSG). A 22-year-old man showed discrete pinkish to erythematous pea sized follicular papules and pustules on his occiput since seven years ago and was treated by intralesional injection of triamcinolone for several times with fair response. Finally, a 38-year-old black man showed variable sized hard round follicular papules on his posterior scalp with several grouped hairs on the center of papules and was treated by intralesional injection of triamcinolone effectively. Histopathologically, common findings were follicular and perifollicular inflammation with the infiltration of plasma cells, neutrophils, lymphohistiocytes, massive dermal fibrosis resembling scar tissue, and diminished sebaceous glands.