26. Acne Keloidalis Nuchae
Protocols
Clinical faetures:
1.Follicular based ictchy papular lesion present on occipital area.
2.most common in male .
3.Age : 13-25 year
4.H/O helmet use (motorbike rider)
D/D:
1.Acne vulgaris
2.Bacterial folliculitis
Treatment :
📃Rx:
General Mx:
1.avoid long time helmet use .
2.Avoid repeted hair cut
Specific Rx:
1.Cap.Doxicap([post id="590" title="Doxycycline"]) ( 100mg) ....0+)+1......1 month
2.Dermasol ointment[post id="559" title="Clobetasol"]( ...2 times daily .....2-4 weeks
3.Retin -A ([post id="605" title="Tretinoin"]) CREAM ...1 time daily .....2 month(night time)
if no response :
inj.Trialon ([post id="606" title="Triamcinolone"])(40mg/ml) intra-lesional ...3 weeks interval ...2-6 sessions
(Note : Dilalution of Trialon (1:1) Normal saline .example 1 ml normal saline + 1 ml inj.Trialon .
Clean the area & use local anesthesia spray )