Could my bumps and itchy scalp be acne keloidalis nuchae?

Hello,

Welcome to www.icliniq.com

I read through your query and I understand your concern.

Acne keloidalis (chronic destructive folliculitis of the nuchae) is managed medically and with lifestyle modifications.

The first step is to reduce inflammation and prevent it from worsening. Betamethasone lotion: Apply a thin layer to the affected areas once daily for two weeks. This helps calm inflammation. Doxycycline 100 mg by mouth once a day for two weeks - this will help with any underlying infection and reduce inflammation. Thicker bumps may be treated with intralesional steroid injections to flatten the bump and prevent scarring.

Everyday care really is important. Don’t shave all the way up the back of your neck. Leave the hair longer or use clippers to avoid irritation. Wipe the area clean and dry. Avoid tight collars and friction. Don't scratch the bumps, even if they itch.

For itching, you can take Cetirizine 10 mg at night for seven days. You can also use a soft microfibre cloth to gently ease the itching and clip your nails, as scratching can make the keloid larger.

You should notice an improvement within 4 to 6 weeks. If the bumps are thick or keloid-like, they may need to be treated further with laser therapy or minor surgical removal. Don’t use potent steroid creams for longer than two weeks at a time, as they can make the skin thin.

Most patients will notice a reduction in inflammation, itching, and bump size over time with proper treatment and care.

Thank you.