Papular acne keloidalis nuchae treatment success using follicular unit excision

Acne keloidalis nuchae (AKN) is a chronic debilitating and suppurating cicatricial alopecia that affects men of color but is rarely reported in European-descended Whites and women. Factors influencing treatment choice and outcomes reflect a wide variation in morphologic forms, including dispersed or merging papules/nodules, atrophic or raised plaques, and tumorous masses. Wide-ranging scalp disease distribution patterns, including a varying degree of nape zone affectation to more extensive scalp distribution and the presence or absence of other cicatricial scalp diseases, including folliculitis decalvans (FD), are also contributing factors.