Gutiérrez-Gómez C, Valdez-Díaz B

Language: Spanish
References: 8
Page: 156-159
PDF size: 279.97 Kb.

ABSTRACT

Acne keloidalis nuchae is a chronic inflammatory condition of the hair follicle on the occiput that leads to fibrotic plaques, papules and alopecia. In severe cases, acne keloidalis nuchae leads to considerable psychological effects and affects quality of life. Traditional medical management focuses on prevention, the use of oral ant topic antibiotics, and intralesional steroids in order to decrease inflammation and secondary infections. Unfortunately, therapy may require months of treatment to achieve results which are not satisfactory and recurrences are common. A surgical handling treat lesion is invasive and requires more time to recover. Cryotherapy, carbon dioxide and laser ablation therapies are alternative treatments of folliculitis keloidalis with limited results. The objective of this work is to analyze the technique used and the results of a case of acne keloidalis nuchae treated with tissue expansion. We described a case of 33 year old patient with histopathological diagnosis of folliculitis keloidalis treated with wide resection and flap advance with previous placement of expander. After two years follow-up we did not observe recurrence, and a good cosmetic result was achieved. Tissue expansion is a useful resource for definitive management of extended lesions and refractory to medical treatment. Some authors have reported the use of adjuvant radiotherapy postop, which was not used in this case, and there was no recurrence in a two year follow-up. We concluded that many treatments have been performed for acne keloidalis nuchae from topical antibiotics to surgical excision of fibrotic plaques. It is very important to consider each case to carry out the adequate treatment according to the clinical context.

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