Acne Keloidalis Nuchae: A Multicenter Retrospective Study of 142 Hispanic Patients.

IF 2.5 4区医学 Q2 DERMATOLOGY

Dermatology practical & conceptual Pub Date : 2024-07-01 DOI:10.5826/dpc.1403a198

Luis E Sánchez-Dueñas, Mariana G Ungson-García, Joel Alejandro Ramírez-Sánchez, Antonio Michell Ayala Barrera, Miguel Marti Machado, Sonia Sofía Ocampo-Garza, Lizet K Rojano-Fritz, Aldo Gálvez-Canseco, Lidia Elena Bernal López, Daniela Gutierrez Mendoza, Roxana Castañeda Yepiz, Araceli Alvarado Delgadillo, Yakelin Morales Miranda

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引用次数: 0

Abstract

Introduction: Acne keloidalis nuchae (AKN) is a primary cicatricial alopecia with mixed infiltrate. It is more common in Africans or persons of African descent.

Objectives: Our objective was to describe the epidemiology and clinical and trichoscopic presentations of AKN in a large series of Hispanic patients.

Methods: This was a retrospective study from 10 different dermatological centers in Argentina, Colombia, Mexico, and Peru. Patients with a clinical diagnosis of AKN treated by 12 dermatologists experienced in trichology from 2018 to 2022 were included. The Umar classification system was used to determine severity.

Results: We identified 142 patients with AKN: 98% were male (n=140) with a mean age of 32 years; 108 patients had a previous history of trauma to the nuchal area (76%, P < 0.001); and 48 were positive for a history of acne (33.8%, P = 0.021). Patients with >50 months of evolution were mainly classified in classes III and IV compared to patients with an evolution of <50 months (30%, n=9 vs. 14%, n=15; P = 0.019; respectively).

Conclusion: AKN should be considered in the differential diagnosis in the Hispanic population. Advanced stages of the disease are correlated with chronic evolution.

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Nuchae 角化性痤疮：一项针对 142 名西班牙裔患者的多中心回顾性研究。

简介颈部瘢痕疙瘩（AKN）是一种混合浸润的原发性卡他性脱发。它在非洲人或非洲后裔中更为常见：我们的目的是描述一大批西班牙裔患者中 AKN 的流行病学、临床和三镜检查表现：这是一项回顾性研究，来自阿根廷、哥伦比亚、墨西哥和秘鲁的 10 家不同的皮肤病中心。研究纳入了 2018 年至 2022 年期间由 12 位在毛发学方面经验丰富的皮肤科医生治疗的临床诊断为 AKN 的患者。结果：我们发现了142名AKN患者：98%为男性（n=140），平均年龄为32岁；108名患者曾有颈部外伤史（76%，P<0.001）；48名患者有痤疮史（33.8%，P=0.021）。与病程超过 50 个月的患者相比，病程超过 50 个月的患者主要属于 III 级和 IV 级：在西班牙裔人群的鉴别诊断中应考虑 AKN。疾病的晚期与慢性演变相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatology practical & conceptual DERMATOLOGY-

CiteScore

1.40

自引率

0.00%

发文量

217