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 �:	@Acne keloidalis nuchae is not the same as a keloid: A case report of successful excision with healing by secondary intention

Short running head: Acne keloidalis nuchae is not the same as a keloid

Authors: 
Cassandra A Ligh, MD1, Paris D Butler, MD MPH 1
1. University of Pennsylvania, Division of Plastic and Reconstructive Surgery, Philadelphia, PA.

Corresponding Author:
Paris D. ButlerAssistant Professor, Division of Plastic and Reconstructive SurgeryPennsylvania Hospital
3400 Civic Center Boulevard
Perelman Center for Advanced Medicine
South Tower, 14th Floor
Philadelphia, PA 19104
Telephone: 215-516-9637
Fax: 215-829-5350
 HYPERLINK "mailto:Paris.butler@uphs.upenn.edu" Paris.butler@uphs.upenn.edu

Acknowledgement: The authors would like to thank Dr. Richard Bennett for his willingness to share his experience over his illustrious career.

Financial Disclosure Statement: The authors have nothing to disclosure



 


Abstract:

Introduction: Acne keloidalis nuchae (AKN) is a chronic folliculitis along the nape of the neck and occipital scalp that results in scarring alopecia and disfiguring keloid-like plaques often associated with infection, pain, bleeding, malodor, and progression in size. AKN appears similar to keloids, yet there are differences in pathophysiology. These two cases highlight a surgical treatment course for AKN that plastic surgeons can incorporate into their practice.  
Methods: Two case studies of 25-year-old African-American males with several year histories of keloid-like masses of the posterior scalp that had been medically managed as keloids and presented to clinic for second opinions. They underwent local wide excision of AKN masses that included the posterior hairline and at least 0.5-centimeters of healthy tissue margin, followed by secondary intention healing. 
Results: Patients were followed post-operatively and had aesthetically acceptable outcomes with significant improvement, one with disease-free result and the other with evidence of new disease superior to his wound requiring repeat excision and radiation. 
Conclusions: By completely excising the affected tissue, along with removal of the posterior hairline, patients can be disease-free and have an aesthetically acceptable outcome. 
Key words: acne keloid, folliculitis

Introduction:

Acne keloidalis nuchae (AKN) is a chronic folliculitis along the nape of the neck and occipital scalp that results in scarring alopecia and disfiguring keloid-like plaques ADDIN EN.CITE  ADDIN EN.CITE.DATA 1-3. This inflammatory disorder of the hair follicles disproportionally affects African-American men after puberty and is initially characterized by small pustules and papules ADDIN EN.CITE  ADDIN EN.CITE.DATA 1-3. In some patients, these plaques further develop and form larger keloid-like masses that are commonly associated with bleeding, malodor, infection, pain, and progression in size ADDIN EN.CITE  ADDIN EN.CITE.DATA 1-4.

Nearly all of the literature that describes acne keloidalis nuchae (AKN) has been published within the dermatologic research community, yet there is an unknown number of patients who are seen by plastic and reconstructive surgeons and are likely misdiagnosed and incorrectly treated as keloids. 

While acne keloidalis nuchae (AKN) has a similar clinical appearance to keloids, there are clear differences in the histology, recurrence rates, and treatment options for the disease. Plastic and reconstructive surgeons need to be aware of these differences in order to appropriately diagnose and successfully manage these two distinct pathologies. 

Our goal is to emphasize the differences between AKN and keloids by presenting two successful examples of AKN treatment. We believe that these cases add another surgical technique to the broad armamentarium that plastic and reconstructive surgeons incorporate into their practice.  

Below are two case reports highlighting the effective and aesthetically acceptable results after the wide excision of acne keloidalis nuchae masses that included the posterior hairline, followed by secondary intention healing.


Case report #1:

A 25-year-old African-American man with a history of chest and shoulder keloids presented to the plastic surgery clinic with an 8x5 centimeter posterior scalp �keloid� that he had since he was an early teenager. He described that it started as an inflamed hair follicle that has been steadily increasing in size. He also noted that it limits his full range of neck motion. He was previously medically managed with steroid injections and noted the lesion has softened slightly but did not decrease in total size. 

Preoperative:

In clinic, the patient was preoperatively counseled on the risks, benefits, complications, treatment options, expected outcomes and postoperative course of proceeding with wide local excision and healing by secondary intention. The possibilities of reaction to medication, anesthesia, the need for additional procedures, failure to diagnose a condition, and creating a complication requiring treatment or surgery were discussed as part of the informed consent process.

On the day of surgery, the affected area was marked out with at least 0.5 centimeters of healthy uninvolved tissue as a border superiorly and laterally. The posterior hairline was included in the pre-operative markings despite the fact that actively diseased tissue did not extend that far inferiorly. The excised tissue measured 12.5x6 centimeter. 

Intraoperative:
The patient was administered general anesthesia, placed prone on the operative table and was widely prepped with Betadine without additional shaving around the operative field. A local field block was administered using 1% lidocaine with epinephrine 1:100,000 mixed with an equivalent amount of 0.25% bupivacaine. The mixture was injected in the subcutaneous plane, circumferentially around the wound, with needle punctures within the keloid-like mass and needle aimed towards the edges. This was done to prevent further trauma to the neighboring healthy tissue. 

The original pre-operative markings were used to guide the excision (12.5x6 centimeter) and a number 15 blade was used to incise the skin down to the underlying fat layer that was located directly on the fascia. Ensuring no violation of the fascial layer, the entire scar burden was removed down to healthy fat and fascia. Monopolar cautery was used at a blend setting of 35 watts to simultaneously lift the keloidal tissue and follicles while coagulating small vessels encountered. The affected tissue was removed en-bloc and meticulous hemostasis was completed with monopolar cautery and irrigated with normal saline. At this point more of the local anesthetic mixture was directly injected into the wound bed for additional anesthesia. For post-operative dressings, a loose moist bolster dressing was applied to the wound. Copious amounts of triple antibiotic ointment were applied to the wound bed and covered completely with Xeroform gauze (non-adherent, sterile, fine mesh gauze impregnated with 3% Bismuth Tribromophenate) then layered with moistened 4x4 centimeter sterile gauze, followed by another layer of Xeroform gauze, topped with dry abdominal pads and secured with a Kerlex headwrap. The patient was discharged the same day with one week of antibiotics (Duricef 500mg BID) and pain medication as needed. 

Postoperative:
Forty-eight hours following surgery, the dressings were removed in the office and inspected for signs of infection. The patient was instructed to change the dressings twice daily and to replace them with a simple wet-to-dry regimen of saline damp 4x4 centimeter gauze pads and dry abdominal pads secured with either Kerlex headwrap or surgical tape. We recommend to patients to use non-fragrance soap and to remove dressings in the shower after they are saturated, as they are easier to remove with less discomfort. The patient returned for follow up appointments at 2, 4, 5, 7, 10, 14, and 18 weeks post-operatively (Figure 1A-D) and subsequently every 2 months afterwards. When the wound is fully closed (approximately 8-9 weeks), the patient was instructed to dress wound with triple antibiotic ointment and leave open to air. At 14 week, 6 months, and 8 months the wound looked slightly raised and the decision was made to inject 3 cc of Kenalog 50 mg/ml along the entire length of the scar. He is now 15-months post operative, and at his most recent appointment he reported being very happy with the aesthetic and functional result, yet inquired about further intervention to address an area of new disease superior to his wound. This would require another round of wide local excision, although less extensive than the original surgery.. Pathology at the time of original excision revealed dense acute and chronic inflammatory processes with follicular disruption consistent with AKN. 


Case report #2:
A 25-year-old African-American man with no history of keloids presented to the plastic surgery clinic with an 11x7 centimeter posterior neck mass that he has had for two years. He reports that he is embarrassed of the size and the fact that it is nearly impossible to obtain a haircut without bleeding. He has been medically managed with steroid injections with minimal softening, but no decrease in overall size. 

The surgical management was identical to the previous patient except the lesion excised measured 12x9.5 centimeter. He returned for follow-up at 2, 4, 5, 7, 10, 12, and 14 weeks post-operatively and subsequently every 2 months afterwards without issues or need for steroid injection (Figure 2A-D). He now is 13 months post-operative, happy with the aesthetic result, and reports he is working and cutting his hair without issue. Pathology also revealed suppurative ruptured folliculitis, consistent with acne keloidalis nuchae.


Discussion:

The exact origin of acne keloidalis nuchae (AKN) is currently unknown, yet studies have suggested that inflammation, trauma, chronic hair follicle irritation/ingrowth, infection or hormones play a role in its etiology ADDIN EN.CITE  ADDIN EN.CITE.DATA 1-8. The leading theories suggest that skin injury or trauma to the area may cause an immune reaction that leads to primary cicatricial alopecia and abnormal keratin formation ADDIN EN.CITE  ADDIN EN.CITE.DATA 6-9. Histologically, AKN is characterized by the initial infiltration of neutrophils and lymphocytes during the chronic perifollicular inflammatory phase and later stages illustrate the subsequent destruction of hair follicles ADDIN EN.CITE  ADDIN EN.CITE.DATA 6,10. Medical management for AKN consists of a number of options that include topical treatment (corrosives, corticosteroids, antibiotics, immune modulators) intralesional steroid injections, cryotherapy, systemic therapy (tetracycline derivative antibiotics, retinoids), and laser therapy (1064 nm Nd:YAG, 810 diode, carbon dioxide) ADDIN EN.CITE  ADDIN EN.CITE.DATA 2,4,10,11. There are a limited number of case reports that look specifically at wide excision and healing by secondary intention in patients with AKN, yet those studies report a 0% recurrence rate ADDIN EN.CITE  ADDIN EN.CITE.DATA 5,12,13.  There is a growing understanding that to prevent recurrence, all of the even potentially diseased tissue must be removed with the active lesion. That along with the desire to have a relatively naturally appearing new posterior hairline is why the original posterior hairline is included in the resection ADDIN EN.CITE <EndNote><Cite><Author>Glenn</Author><Year>1995</Year><RecNum>3</RecNum><DisplayText><style face="superscript">14</style></DisplayText><record><rec-number>3</rec-number><foreign-keys><key app="EN" db-id="wastt0tfy9s59ye9wf9vvvduf95azpawvd92" timestamp="1496344754">3</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Glenn, M. J.</author><author>Bennett, R. G.</author><author>Kelly, A. P.</author></authors></contributors><auth-address>King-Drew Medical Center, Los Angeles, CA 90059, USA.</auth-address><titles><title>Acne keloidalis nuchae: treatment with excision and second-intention healing</title><secondary-title>J Am Acad Dermatol</secondary-title></titles><periodical><full-title>J Am Acad Dermatol</full-title></periodical><pages>243-6</pages><volume>33</volume><number>2 Pt 1</number><keywords><keyword>Acne Keloid/ethnology/*surgery</keyword><keyword>Adult</keyword><keyword>African Continental Ancestry Group</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Scalp Dermatoses/ethnology/*surgery</keyword><keyword>Wound Healing/physiology</keyword></keywords><dates><year>1995</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>0190-9622 (Print)&#xD;0190-9622 (Linking)</isbn><accession-num>7622651</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/7622651</url></related-urls></urls></record></Cite></EndNote>14.

In comparison, the exact mechanism of keloid formation has not been elucidated, yet is linked to a previous trauma or surgical site and is thought to be due to abnormal regulation of collagen equilibrium ADDIN EN.CITE <EndNote><Cite><Author>Butler</Author><Year>2008</Year><RecNum>1</RecNum><DisplayText><style face="superscript">15</style></DisplayText><record><rec-number>1</rec-number><foreign-keys><key app="EN" db-id="wastt0tfy9s59ye9wf9vvvduf95azpawvd92" timestamp="1496344644">1</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Butler, P. D.</author><author>Longaker, M. T.</author><author>Yang, G. P.</author></authors></contributors><auth-address>Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305-5148, USA.</auth-address><titles><title>Current progress in keloid research and treatment</title><secondary-title>J Am Coll Surg</secondary-title></titles><periodical><full-title>J Am Coll Surg</full-title></periodical><pages>731-41</pages><volume>206</volume><number>4</number><keywords><keyword>Humans</keyword><keyword>Keloid/pathology/*physiopathology/*therapy</keyword><keyword>Research</keyword><keyword>Wound Healing/*physiology</keyword></keywords><dates><year>2008</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1879-1190 (Electronic)&#xD;1072-7515 (Linking)</isbn><accession-num>18387480</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/18387480</url></related-urls></urls><electronic-resource-num>10.1016/j.jamcollsurg.2007.12.001</electronic-resource-num></record></Cite></EndNote>15. It is characterized histologically by disorganized extracellular architecture and randomly oriented collagen fibrils that have overgrown beyond the border of the original scar ADDIN EN.CITE <EndNote><Cite><Author>Butler</Author><Year>2008</Year><RecNum>1</RecNum><DisplayText><style face="superscript">15</style></DisplayText><record><rec-number>1</rec-number><foreign-keys><key app="EN" db-id="wastt0tfy9s59ye9wf9vvvduf95azpawvd92" timestamp="1496344644">1</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Butler, P. D.</author><author>Longaker, M. T.</author><author>Yang, G. P.</author></authors></contributors><auth-address>Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305-5148, USA.</auth-address><titles><title>Current progress in keloid research and treatment</title><secondary-title>J Am Coll Surg</secondary-title></titles><periodical><full-title>J Am Coll Surg</full-title></periodical><pages>731-41</pages><volume>206</volume><number>4</number><keywords><keyword>Humans</keyword><keyword>Keloid/pathology/*physiopathology/*therapy</keyword><keyword>Research</keyword><keyword>Wound Healing/*physiology</keyword></keywords><dates><year>2008</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1879-1190 (Electronic)&#xD;1072-7515 (Linking)</isbn><accession-num>18387480</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/18387480</url></related-urls></urls><electronic-resource-num>10.1016/j.jamcollsurg.2007.12.001</electronic-resource-num></record></Cite></EndNote>15. Another important difference to note is the recurrence rate cited in the literature for surgical management of keloids is highly varied and as high as 100%  ADDIN EN.CITE <EndNote><Cite><Author>Butler</Author><Year>2008</Year><RecNum>1</RecNum><DisplayText><style face="superscript">15</style></DisplayText><record><rec-number>1</rec-number><foreign-keys><key app="EN" db-id="wastt0tfy9s59ye9wf9vvvduf95azpawvd92" timestamp="1496344644">1</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Butler, P. D.</author><author>Longaker, M. T.</author><author>Yang, G. P.</author></authors></contributors><auth-address>Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305-5148, USA.</auth-address><titles><title>Current progress in keloid research and treatment</title><secondary-title>J Am Coll Surg</secondary-title></titles><periodical><full-title>J Am Coll Surg</full-title></periodical><pages>731-41</pages><volume>206</volume><number>4</number><keywords><keyword>Humans</keyword><keyword>Keloid/pathology/*physiopathology/*therapy</keyword><keyword>Research</keyword><keyword>Wound Healing/*physiology</keyword></keywords><dates><year>2008</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1879-1190 (Electronic)&#xD;1072-7515 (Linking)</isbn><accession-num>18387480</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/18387480</url></related-urls></urls><electronic-resource-num>10.1016/j.jamcollsurg.2007.12.001</electronic-resource-num></record></Cite></EndNote>15. 

There are differences in the medical management of keloids and AKN that are outside the scope of this case report, but as illustrated through the provided cases, the surgical management for AKN is drastically different than if the lesions were traditional keloids. For example, if either mass in the above cases were a traditional keloid, the senior author would have offered a different treatment regimen out of near assurance of a recurrence otherwise. He would have chosen tissue expander placement in nearby healthy tissue followed by a several month expansion process. This would have been preceded by excision of the lesion without incorporating the posterior hairline, removal of the tissue expander, and primary closure with non-dissolvable sutures using the newly expanded skin. Intraoperative steroid injections within the incision would have then been performed and likely a recommendation to receive low dose post-operative radiation treatment to the wound. This option is significantly different than the surgical approach to the two above patients with AKN. 

It is important to note that one of our patients is pursuing further surgical management due to new disease superior to his previous excision. It is important to consider that when counseling patients with this diagnosis that there is an open discussion that further surgical intervention may be warranted if the entire area of disease is not removed successfully on the first excision. The senior author balances aggressive removal of affected tissue with awareness of the physical effects of removing hair-bearing tissue, by excising the tissue that he visually inspects as being affected with an additional 0.5 cm margin. With that said, it may be worth considering excision of more than the 0.5 cm in the superior margin, as it may be difficult to differentiate disease in hair bearing areas. 

The novelty of this case report is that prior citations, solely in the dermatologic literature, were primary older men with less aggressive and smaller keloidal-like masses. The two examples presented here are young African-American men with large, extensive pathology. The senior author has treated many more keloid patients than those with a diagnosis of AKN, yet has learned through his experience with the cases above that plastic and reconstructive surgeons can approach the management of the AKN patient with different surgical options. 

References:

 ADDIN EN.REFLIST 1.	Adegbidi H, Atadokpede F, do Ango-Padonou F, Yedomon H. Keloid acne of the neck: epidemiological studies over 10 years. Int J Dermatol 2005;44 Suppl 1:49-50.
2.	Maranda EL, Simmons BJ, Nguyen AH, Lim VM, Keri JE. Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature. Dermatol Ther (Heidelb) 2016;6:363-78.
3.	Ogunbiyi A. Acne keloidalis nuchae: prevalence, impact, and management challenges. Clin Cosmet Investig Dermatol 2016;9:483-9.
4.	Millan-Cayetano JF, Repiso-Jimenez JB, Del Boz J, de Troya-Martin M. Refractory acne keloidalis nuchae treated with radiotherapy. Australas J Dermatol 2017;58:e11-e3.
5.	Beckett N, Lawson C, Cohen G. Electrosurgical excision of acne keloidalis nuchae with secondary intention healing. J Clin Aesthet Dermatol 2011;4:36-9.
6.	Bernardez C, Molina-Ruiz AM, Requena L. Histologic features of alopecias: part II: scarring alopecias. Actas Dermosifiliogr 2015;106:260-70.
7.	Ogunbiyi A, Adedokun B. Perceived aetiological factors of folliculitis keloidalis nuchae (acne keloidalis) and treatment options among Nigerian men. Br J Dermatol 2015;173 Suppl 2:22-5.
8.	Sperling LC, Homoky C, Pratt L, Sau P. Acne keloidalis is a form of primary scarring alopecia. Arch Dermatol 2000;136:479-84.
9.	Olsen E, Stenn K, Bergfeld W, et al. Update on cicatricial alopecia. J Investig Dermatol Symp Proc 2003;8:18-9.
10.	Alexis A, Heath CR, Halder RM. Folliculitis keloidalis nuchae and pseudofolliculitis barbae: are prevention and effective treatment within reach? Dermatol Clin 2014;32:183-91.
11.	Esmat SM, Abdel Hay RM, Abu Zeid OM, Hosni HN. The efficacy of laser-assisted hair removal in the treatment of acne keloidalis nuchae; a pilot study. Eur J Dermatol 2012;22:645-50.
12.	Bajaj V, Langtry JA. Surgical excision of acne keloidalis nuchae with secondary intention healing. Clin Exp Dermatol 2008;33:53-5.
13.	Etzkorn JR, Chitwood K, Cohen G. Tumor stage acne keloidalis nuchae treated with surgical excision and secondary intention healing. J Drugs Dermatol 2012;11:540-1.
14.	Glenn MJ, Bennett RG, Kelly AP. Acne keloidalis nuchae: treatment with excision and second-intention healing. J Am Acad Dermatol 1995;33:243-6.
15.	Butler PD, Longaker MT, Yang GP. Current progress in keloid research and treatment. J Am Coll Surg 2008;206:731-41.

Figure Legend:

Figure 1. Pre-operative and post-operative photo progression of Patient #1 with acne keloidalis nuchae



Figure 2. Pre-operative and post-operative photo progression of Patient #2 with acne keloidalis nuchae



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t\OJQJh��OJQJh&I�OJQJ+`,`�`�`�`�`�`�`aa���������gd?�gd�\C	�`�`�`�`�`�`aaa�������h<�h�\COJQJjh$G�h$G�OJQJUh�\COJQJh?�h?�OJQJh?�OJQJh?N*OJQJ21�h:p?]���/ ��=!�"�#��$��%��������D���y������K����y������K�Fmailto:Paris.butler@uphs.upenn.eduzD<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-3</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. K. Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>127</RecNum><record><rec-number>127</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262374">127</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2016</Year><RecNum>136</RecNum><record><rec-number>136</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262952">136</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Acne keloidalis nuchae: prevalence, impact, and management challenges</title><secondary-title>Clin Cosmet Investig Dermatol</secondary-title></titles><periodical><full-title>Clin Cosmet Investig Dermatol</full-title></periodical><pages>483-489</pages><volume>9</volume><keywords><keyword>clinical features</keyword><keyword>scarring alopecia</keyword><keyword>treatment challenges</keyword></keywords><dates><year>2016</year></dates><isbn>1178-7015 (Linking)</isbn><accession-num>28008278</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/28008278</url></related-urls></urls><custom2>PMC5167527</custom2><electronic-resource-num>10.2147/CCID.S99225</electronic-resource-num></record></Cite></EndNote>zD<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-3</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. K. Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>127</RecNum><record><rec-number>127</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262374">127</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. 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E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2016</Year><RecNum>136</RecNum><record><rec-number>136</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262952">136</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Acne keloidalis nuchae: prevalence, impact, and management challenges</title><secondary-title>Clin Cosmet Investig Dermatol</secondary-title></titles><periodical><full-title>Clin Cosmet Investig Dermatol</full-title></periodical><pages>483-489</pages><volume>9</volume><keywords><keyword>clinical features</keyword><keyword>scarring alopecia</keyword><keyword>treatment challenges</keyword></keywords><dates><year>2016</year></dates><isbn>1178-7015 (Linking)</isbn><accession-num>28008278</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/28008278</url></related-urls></urls><custom2>PMC5167527</custom2><electronic-resource-num>10.2147/CCID.S99225</electronic-resource-num></record></Cite></EndNote>zD<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-3</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. 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Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>138</RecNum><record><rec-number>138</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262984">138</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2016</Year><RecNum>136</RecNum><record><rec-number>136</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262952">136</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Acne keloidalis nuchae: prevalence, impact, and management challenges</title><secondary-title>Clin Cosmet Investig Dermatol</secondary-title></titles><periodical><full-title>Clin Cosmet Investig Dermatol</full-title></periodical><pages>483-489</pages><volume>9</volume><keywords><keyword>clinical features</keyword><keyword>scarring alopecia</keyword><keyword>treatment challenges</keyword></keywords><dates><year>2016</year></dates><isbn>1178-7015 (Linking)</isbn><accession-num>28008278</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/28008278</url></related-urls></urls><custom2>PMC5167527</custom2><electronic-resource-num>10.2147/CCID.S99225</electronic-resource-num></record></Cite></EndNote>zD<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-3</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. K. Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>138</RecNum><record><rec-number>138</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262984">138</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2016</Year><RecNum>136</RecNum><record><rec-number>136</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262952">136</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Acne keloidalis nuchae: prevalence, impact, and management challenges</title><secondary-title>Clin Cosmet Investig Dermatol</secondary-title></titles><periodical><full-title>Clin Cosmet Investig Dermatol</full-title></periodical><pages>483-489</pages><volume>9</volume><keywords><keyword>clinical features</keyword><keyword>scarring alopecia</keyword><keyword>treatment challenges</keyword></keywords><dates><year>2016</year></dates><isbn>1178-7015 (Linking)</isbn><accession-num>28008278</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/28008278</url></related-urls></urls><custom2>PMC5167527</custom2><electronic-resource-num>10.2147/CCID.S99225</electronic-resource-num></record></Cite></EndNote>�D<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-4</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. K. Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>138</RecNum><record><rec-number>138</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262984">138</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Millan-Cayetano</Author><Year>2017</Year><RecNum>128</RecNum><record><rec-number>128</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262595">128</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Millan-Cayetano, J. F.</author><author>Repiso-Jimenez, J. B.</author><author>Del Boz, J.</author><author>de Troya-Martin, M.</author></authors></contributors><auth-address>Servicio de Dermatologia, Hospital Costa del Sol, Marbella, Spain.</auth-address><titles><title>Refractory acne keloidalis nuchae treated with radiotherapy</title><secondary-title>Australas J Dermatol</secondary-title></titles><periodical><full-title>Australas J Dermatol</full-title></periodical><pages>e11-e13</pages><volume>58</volume><number>1</number><keywords><keyword>acne keloidalis nuchae</keyword><keyword>radiotherapy</keyword><keyword>scarring alopecia</keyword></keywords><dates><year>2017</year><pub-dates><date>Feb</date></pub-dates></dates><isbn>1440-0960 (Electronic)&#xD;0004-8380 (Linking)</isbn><accession-num>26223375</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/26223375</url></related-urls></urls><electronic-resource-num>10.1111/ajd.12380</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2016</Year><RecNum>136</RecNum><record><rec-number>136</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262952">136</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Acne keloidalis nuchae: prevalence, impact, and management challenges</title><secondary-title>Clin Cosmet Investig Dermatol</secondary-title></titles><periodical><full-title>Clin Cosmet Investig Dermatol</full-title></periodical><pages>483-489</pages><volume>9</volume><keywords><keyword>clinical features</keyword><keyword>scarring alopecia</keyword><keyword>treatment challenges</keyword></keywords><dates><year>2016</year></dates><isbn>1178-7015 (Linking)</isbn><accession-num>28008278</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/28008278</url></related-urls></urls><custom2>PMC5167527</custom2><electronic-resource-num>10.2147/CCID.S99225</electronic-resource-num></record></Cite></EndNote>�D<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-4</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. K. Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>138</RecNum><record><rec-number>138</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262984">138</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Millan-Cayetano</Author><Year>2017</Year><RecNum>128</RecNum><record><rec-number>128</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262595">128</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Millan-Cayetano, J. F.</author><author>Repiso-Jimenez, J. B.</author><author>Del Boz, J.</author><author>de Troya-Martin, M.</author></authors></contributors><auth-address>Servicio de Dermatologia, Hospital Costa del Sol, Marbella, Spain.</auth-address><titles><title>Refractory acne keloidalis nuchae treated with radiotherapy</title><secondary-title>Australas J Dermatol</secondary-title></titles><periodical><full-title>Australas J Dermatol</full-title></periodical><pages>e11-e13</pages><volume>58</volume><number>1</number><keywords><keyword>acne keloidalis nuchae</keyword><keyword>radiotherapy</keyword><keyword>scarring alopecia</keyword></keywords><dates><year>2017</year><pub-dates><date>Feb</date></pub-dates></dates><isbn>1440-0960 (Electronic)&#xD;0004-8380 (Linking)</isbn><accession-num>26223375</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/26223375</url></related-urls></urls><electronic-resource-num>10.1111/ajd.12380</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2016</Year><RecNum>136</RecNum><record><rec-number>136</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262952">136</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Acne keloidalis nuchae: prevalence, impact, and management challenges</title><secondary-title>Clin Cosmet Investig Dermatol</secondary-title></titles><periodical><full-title>Clin Cosmet Investig Dermatol</full-title></periodical><pages>483-489</pages><volume>9</volume><keywords><keyword>clinical features</keyword><keyword>scarring alopecia</keyword><keyword>treatment challenges</keyword></keywords><dates><year>2016</year></dates><isbn>1178-7015 (Linking)</isbn><accession-num>28008278</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/28008278</url></related-urls></urls><custom2>PMC5167527</custom2><electronic-resource-num>10.2147/CCID.S99225</electronic-resource-num></record></Cite></EndNote>�2D<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-8</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. K. Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Beckett</Author><Year>2011</Year><RecNum>105</RecNum><record><rec-number>105</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262140">105</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Beckett, N.</author><author>Lawson, C.</author><author>Cohen, G.</author></authors></contributors><titles><title>Electrosurgical excision of acne keloidalis nuchae with secondary intention healing</title><secondary-title>J Clin Aesthet Dermatol</secondary-title></titles><periodical><full-title>J Clin Aesthet Dermatol</full-title></periodical><pages>36-9</pages><volume>4</volume><number>1</number><dates><year>2011</year><pub-dates><date>Jan</date></pub-dates></dates><isbn>1941-2789 (Print)&#xD;1941-2789 (Linking)</isbn><accession-num>21278897</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/21278897</url></related-urls></urls><custom2>PMC3030213</custom2></record></Cite><Cite><Author>Bernardez</Author><Year>2015</Year><RecNum>144</RecNum><record><rec-number>144</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496263258">144</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bernardez, C.</author><author>Molina-Ruiz, A. M.</author><author>Requena, L.</author></authors></contributors><auth-address>Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana.&#xD;Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana. Electronic address: lrequena@fjd.es.</auth-address><titles><title>Histologic features of alopecias: part II: scarring alopecias</title><secondary-title>Actas Dermosifiliogr</secondary-title></titles><periodical><full-title>Actas Dermosifiliogr</full-title></periodical><pages>260-70</pages><volume>106</volume><number>4</number><keywords><keyword>Acne Keloid/pathology</keyword><keyword>Alopecia/classification/diagnosis/*pathology</keyword><keyword>Cicatrix/pathology</keyword><keyword>Darier Disease/pathology</keyword><keyword>Fibrosis</keyword><keyword>Folliculitis/pathology</keyword><keyword>Hair Follicle/pathology</keyword><keyword>Humans</keyword><keyword>Hyperkeratosis, Epidermolytic/pathology</keyword><keyword>Lichen Planus/pathology</keyword><keyword>Lupus Erythematosus, Cutaneous/pathology</keyword><keyword>Lymphocytes/pathology</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Acne necrotico varioliforme</keyword><keyword>Acne queloideo de la nuca</keyword><keyword>Alopecia</keyword><keyword>Alopecia cicatricial centrifuga central</keyword><keyword>Alopecia mucinosa</keyword><keyword>Alopecias cicatriciales</keyword><keyword>Brocq pseudopelade</keyword><keyword>Celulitis/foliculitis disecante</keyword><keyword>Central centrifugal cicatricial alopecia</keyword><keyword>Chronic cutaneous lupus erythematosus</keyword><keyword>Dermatopathology</keyword><keyword>Dermatopatologia</keyword><keyword>Dissecting cellulitis/folliculitis</keyword><keyword>Foliculitis decalvante</keyword><keyword>Follicular lichen planus</keyword><keyword>Folliculitis decalvans</keyword><keyword>Keratosis follicularis spinulosa decalvans</keyword><keyword>Liquen plano folicular</keyword><keyword>Lupus eritematoso cutaneo cronico</keyword><keyword>Necrotizing lymphocytic folliculitis</keyword><keyword>Pseudopelada de Brocq</keyword><keyword>Queratosis folicular espinulosa decalvante</keyword><keyword>Review</keyword><keyword>Revision</keyword><keyword>Scarring alopecia</keyword></keywords><dates><year>2015</year><pub-dates><date>May</date></pub-dates></dates><isbn>1578-2190 (Electronic)&#xD;0001-7310 (Linking)</isbn><accession-num>25439143</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/25439143</url></related-urls></urls><electronic-resource-num>10.1016/j.ad.2014.06.016</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>138</RecNum><record><rec-number>138</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262984">138</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Millan-Cayetano</Author><Year>2017</Year><RecNum>128</RecNum><record><rec-number>128</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262595">128</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Millan-Cayetano, J. F.</author><author>Repiso-Jimenez, J. B.</author><author>Del Boz, J.</author><author>de Troya-Martin, M.</author></authors></contributors><auth-address>Servicio de Dermatologia, Hospital Costa del Sol, Marbella, Spain.</auth-address><titles><title>Refractory acne keloidalis nuchae treated with radiotherapy</title><secondary-title>Australas J Dermatol</secondary-title></titles><periodical><full-title>Australas J Dermatol</full-title></periodical><pages>e11-e13</pages><volume>58</volume><number>1</number><keywords><keyword>acne keloidalis nuchae</keyword><keyword>radiotherapy</keyword><keyword>scarring alopecia</keyword></keywords><dates><year>2017</year><pub-dates><date>Feb</date></pub-dates></dates><isbn>1440-0960 (Electronic)&#xD;0004-8380 (Linking)</isbn><accession-num>26223375</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/26223375</url></related-urls></urls><electronic-resource-num>10.1111/ajd.12380</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2016</Year><RecNum>136</RecNum><record><rec-number>136</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262952">136</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Acne keloidalis nuchae: prevalence, impact, and management challenges</title><secondary-title>Clin Cosmet Investig Dermatol</secondary-title></titles><periodical><full-title>Clin Cosmet Investig Dermatol</full-title></periodical><pages>483-489</pages><volume>9</volume><keywords><keyword>clinical features</keyword><keyword>scarring alopecia</keyword><keyword>treatment challenges</keyword></keywords><dates><year>2016</year></dates><isbn>1178-7015 (Linking)</isbn><accession-num>28008278</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/28008278</url></related-urls></urls><custom2>PMC5167527</custom2><electronic-resource-num>10.2147/CCID.S99225</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2015</Year><RecNum>112</RecNum><record><rec-number>112</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262246">112</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author><author>Adedokun, B.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, University of Ibadan, University College Hospital, Ibadan, Oyo State, Nigeria.&#xD;Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Perceived aetiological factors of folliculitis keloidalis nuchae (acne keloidalis) and treatment options among Nigerian men</title><secondary-title>Br J Dermatol</secondary-title></titles><periodical><full-title>Br J Dermatol</full-title></periodical><pages>22-5</pages><volume>173 Suppl 2</volume><keywords><keyword>Acne Keloid/*etiology/psychology/therapy</keyword><keyword>Adult</keyword><keyword>Age Distribution</keyword><keyword>Aged</keyword><keyword>*Health Knowledge, Attitudes, Practice</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Nigeria/ethnology</keyword><keyword>Perception</keyword><keyword>Socioeconomic Factors</keyword><keyword>Urban Health</keyword></keywords><dates><year>2015</year><pub-dates><date>Jul</date></pub-dates></dates><isbn>1365-2133 (Electronic)&#xD;0007-0963 (Linking)</isbn><accession-num>26207661</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/26207661</url></related-urls></urls><electronic-resource-num>10.1111/bjd.13422</electronic-resource-num></record></Cite><Cite><Author>Sperling</Author><Year>2000</Year><RecNum>134</RecNum><record><rec-number>134</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262760">134</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Sperling, L. C.</author><author>Homoky, C.</author><author>Pratt, L.</author><author>Sau, P.</author></authors></contributors><auth-address>Department of Dermatology, Uniformed Services University, Bethesda, MD 20814, USA. lsperling@usuhs.mil</auth-address><titles><title>Acne keloidalis is a form of primary scarring alopecia</title><secondary-title>Arch Dermatol</secondary-title></titles><periodical><full-title>Arch Dermatol</full-title></periodical><pages>479-84</pages><volume>136</volume><number>4</number><keywords><keyword>Acne Keloid/etiology/*pathology</keyword><keyword>Adolescent</keyword><keyword>Adult</keyword><keyword>Alopecia/etiology/*pathology</keyword><keyword>Biopsy, Needle</keyword><keyword>Cicatrix/etiology/*pathology</keyword><keyword>Hair/pathology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Prospective Studies</keyword><keyword>Scalp/pathology</keyword><keyword>Terminology as Topic</keyword></keywords><dates><year>2000</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>0003-987X (Print)&#xD;0003-987X (Linking)</isbn><accession-num>10768646</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/10768646</url></related-urls></urls></record></Cite></EndNote>�2D<EndNote><Cite><Author>Adegbidi</Author><Year>2005</Year><RecNum>97</RecNum><DisplayText><style face="superscript">1-8</style></DisplayText><record><rec-number>97</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261889">97</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Adegbidi, H.</author><author>Atadokpede, F.</author><author>do Ango-Padonou, F.</author><author>Yedomon, H.</author></authors></contributors><auth-address>Department of Dermatology and Venereology, Centre National Hospitalier et Universitaire H. K. Maga, Cotonou, Benin. adegbidih@yahoo.fr</auth-address><titles><title>Keloid acne of the neck: epidemiological studies over 10 years</title><secondary-title>Int J Dermatol</secondary-title></titles><periodical><full-title>Int J Dermatol</full-title></periodical><pages>49-50</pages><volume>44 Suppl 1</volume><keywords><keyword>Acne Keloid/*epidemiology</keyword><keyword>Adult</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Benin/epidemiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck</keyword></keywords><dates><year>2005</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>0011-9059 (Print)&#xD;0011-9059 (Linking)</isbn><accession-num>16187963</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/16187963</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-4632.2005.02815.x</electronic-resource-num></record></Cite><Cite><Author>Beckett</Author><Year>2011</Year><RecNum>105</RecNum><record><rec-number>105</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262140">105</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Beckett, N.</author><author>Lawson, C.</author><author>Cohen, G.</author></authors></contributors><titles><title>Electrosurgical excision of acne keloidalis nuchae with secondary intention healing</title><secondary-title>J Clin Aesthet Dermatol</secondary-title></titles><periodical><full-title>J Clin Aesthet Dermatol</full-title></periodical><pages>36-9</pages><volume>4</volume><number>1</number><dates><year>2011</year><pub-dates><date>Jan</date></pub-dates></dates><isbn>1941-2789 (Print)&#xD;1941-2789 (Linking)</isbn><accession-num>21278897</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/21278897</url></related-urls></urls><custom2>PMC3030213</custom2></record></Cite><Cite><Author>Bernardez</Author><Year>2015</Year><RecNum>144</RecNum><record><rec-number>144</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496263258">144</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bernardez, C.</author><author>Molina-Ruiz, A. M.</author><author>Requena, L.</author></authors></contributors><auth-address>Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana.&#xD;Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana. 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M.</author><author>Requena, L.</author></authors></contributors><auth-address>Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana.&#xD;Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana. Electronic address: lrequena@fjd.es.</auth-address><titles><title>Histologic features of alopecias: part II: scarring alopecias</title><secondary-title>Actas Dermosifiliogr</secondary-title></titles><periodical><full-title>Actas Dermosifiliogr</full-title></periodical><pages>260-70</pages><volume>106</volume><number>4</number><keywords><keyword>Acne Keloid/pathology</keyword><keyword>Alopecia/classification/diagnosis/*pathology</keyword><keyword>Cicatrix/pathology</keyword><keyword>Darier Disease/pathology</keyword><keyword>Fibrosis</keyword><keyword>Folliculitis/pathology</keyword><keyword>Hair Follicle/pathology</keyword><keyword>Humans</keyword><keyword>Hyperkeratosis, Epidermolytic/pathology</keyword><keyword>Lichen Planus/pathology</keyword><keyword>Lupus Erythematosus, Cutaneous/pathology</keyword><keyword>Lymphocytes/pathology</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Acne necrotico varioliforme</keyword><keyword>Acne queloideo de la nuca</keyword><keyword>Alopecia</keyword><keyword>Alopecia cicatricial centrifuga central</keyword><keyword>Alopecia mucinosa</keyword><keyword>Alopecias cicatriciales</keyword><keyword>Brocq pseudopelade</keyword><keyword>Celulitis/foliculitis disecante</keyword><keyword>Central centrifugal cicatricial alopecia</keyword><keyword>Chronic cutaneous lupus erythematosus</keyword><keyword>Dermatopathology</keyword><keyword>Dermatopatologia</keyword><keyword>Dissecting cellulitis/folliculitis</keyword><keyword>Foliculitis decalvante</keyword><keyword>Follicular lichen planus</keyword><keyword>Folliculitis decalvans</keyword><keyword>Keratosis follicularis spinulosa decalvans</keyword><keyword>Liquen plano folicular</keyword><keyword>Lupus eritematoso cutaneo cronico</keyword><keyword>Necrotizing lymphocytic folliculitis</keyword><keyword>Pseudopelada de Brocq</keyword><keyword>Queratosis folicular espinulosa decalvante</keyword><keyword>Review</keyword><keyword>Revision</keyword><keyword>Scarring alopecia</keyword></keywords><dates><year>2015</year><pub-dates><date>May</date></pub-dates></dates><isbn>1578-2190 (Electronic)&#xD;0001-7310 (Linking)</isbn><accession-num>25439143</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/25439143</url></related-urls></urls><electronic-resource-num>10.1016/j.ad.2014.06.016</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2015</Year><RecNum>112</RecNum><record><rec-number>112</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262246">112</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author><author>Adedokun, B.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, University of Ibadan, University College Hospital, Ibadan, Oyo State, Nigeria.&#xD;Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Perceived aetiological factors of folliculitis keloidalis nuchae (acne keloidalis) and treatment options among Nigerian men</title><secondary-title>Br J Dermatol</secondary-title></titles><periodical><full-title>Br J Dermatol</full-title></periodical><pages>22-5</pages><volume>173 Suppl 2</volume><keywords><keyword>Acne Keloid/*etiology/psychology/therapy</keyword><keyword>Adult</keyword><keyword>Age Distribution</keyword><keyword>Aged</keyword><keyword>*Health Knowledge, Attitudes, Practice</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Nigeria/ethnology</keyword><keyword>Perception</keyword><keyword>Socioeconomic Factors</keyword><keyword>Urban Health</keyword></keywords><dates><year>2015</year><pub-dates><date>Jul</date></pub-dates></dates><isbn>1365-2133 (Electronic)&#xD;0007-0963 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name="Journal Article">17</ref-type><contributors><authors><author>Sperling, L. C.</author><author>Homoky, C.</author><author>Pratt, L.</author><author>Sau, P.</author></authors></contributors><auth-address>Department of Dermatology, Uniformed Services University, Bethesda, MD 20814, USA. lsperling@usuhs.mil</auth-address><titles><title>Acne keloidalis is a form of primary scarring alopecia</title><secondary-title>Arch Dermatol</secondary-title></titles><periodical><full-title>Arch Dermatol</full-title></periodical><pages>479-84</pages><volume>136</volume><number>4</number><keywords><keyword>Acne Keloid/etiology/*pathology</keyword><keyword>Adolescent</keyword><keyword>Adult</keyword><keyword>Alopecia/etiology/*pathology</keyword><keyword>Biopsy, Needle</keyword><keyword>Cicatrix/etiology/*pathology</keyword><keyword>Hair/pathology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Prospective Studies</keyword><keyword>Scalp/pathology</keyword><keyword>Terminology as Topic</keyword></keywords><dates><year>2000</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>0003-987X (Print)&#xD;0003-987X (Linking)</isbn><accession-num>10768646</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/10768646</url></related-urls></urls></record></Cite></EndNote>�D<EndNote><Cite><Author>Bernardez</Author><Year>2015</Year><RecNum>144</RecNum><DisplayText><style face="superscript">6-9</style></DisplayText><record><rec-number>144</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496263258">144</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bernardez, C.</author><author>Molina-Ruiz, A. M.</author><author>Requena, L.</author></authors></contributors><auth-address>Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana.&#xD;Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana. Electronic address: lrequena@fjd.es.</auth-address><titles><title>Histologic features of alopecias: part II: scarring alopecias</title><secondary-title>Actas Dermosifiliogr</secondary-title></titles><periodical><full-title>Actas Dermosifiliogr</full-title></periodical><pages>260-70</pages><volume>106</volume><number>4</number><keywords><keyword>Acne Keloid/pathology</keyword><keyword>Alopecia/classification/diagnosis/*pathology</keyword><keyword>Cicatrix/pathology</keyword><keyword>Darier Disease/pathology</keyword><keyword>Fibrosis</keyword><keyword>Folliculitis/pathology</keyword><keyword>Hair Follicle/pathology</keyword><keyword>Humans</keyword><keyword>Hyperkeratosis, Epidermolytic/pathology</keyword><keyword>Lichen Planus/pathology</keyword><keyword>Lupus Erythematosus, Cutaneous/pathology</keyword><keyword>Lymphocytes/pathology</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Acne necrotico varioliforme</keyword><keyword>Acne queloideo de la 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decalvante</keyword><keyword>Review</keyword><keyword>Revision</keyword><keyword>Scarring alopecia</keyword></keywords><dates><year>2015</year><pub-dates><date>May</date></pub-dates></dates><isbn>1578-2190 (Electronic)&#xD;0001-7310 (Linking)</isbn><accession-num>25439143</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/25439143</url></related-urls></urls><electronic-resource-num>10.1016/j.ad.2014.06.016</electronic-resource-num></record></Cite><Cite><Author>Ogunbiyi</Author><Year>2015</Year><RecNum>112</RecNum><record><rec-number>112</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262246">112</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ogunbiyi, A.</author><author>Adedokun, B.</author></authors></contributors><auth-address>Dermatology Unit, Department of Medicine, University of Ibadan, University College Hospital, Ibadan, Oyo State, Nigeria.&#xD;Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.</auth-address><titles><title>Perceived aetiological factors of folliculitis keloidalis nuchae (acne keloidalis) and treatment options among Nigerian men</title><secondary-title>Br J Dermatol</secondary-title></titles><periodical><full-title>Br J Dermatol</full-title></periodical><pages>22-5</pages><volume>173 Suppl 2</volume><keywords><keyword>Acne Keloid/*etiology/psychology/therapy</keyword><keyword>Adult</keyword><keyword>Age Distribution</keyword><keyword>Aged</keyword><keyword>*Health Knowledge, Attitudes, Practice</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Nigeria/ethnology</keyword><keyword>Perception</keyword><keyword>Socioeconomic Factors</keyword><keyword>Urban Health</keyword></keywords><dates><year>2015</year><pub-dates><date>Jul</date></pub-dates></dates><isbn>1365-2133 (Electronic)&#xD;0007-0963 (Linking)</isbn><accession-num>26207661</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/26207661</url></related-urls></urls><electronic-resource-num>10.1111/bjd.13422</electronic-resource-num></record></Cite><Cite><Author>Olsen</Author><Year>2003</Year><RecNum>95</RecNum><record><rec-number>95</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496261847">95</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Olsen, E.</author><author>Stenn, K.</author><author>Bergfeld, W.</author><author>Cotsarelis, G.</author><author>Price, V.</author><author>Shapiro, J.</author><author>Sinclair, R.</author><author>Solomon, A.</author><author>Sperling, L.</author><author>Whiting, D.</author></authors></contributors><auth-address>Duke University Medical Center, Durham, NC 27710, USA. olsen001@mc.duke.edu</auth-address><titles><title>Update on cicatricial alopecia</title><secondary-title>J Investig Dermatol Symp Proc</secondary-title></titles><periodical><full-title>J Investig Dermatol Symp Proc</full-title></periodical><pages>18-9</pages><volume>8</volume><number>1</number><keywords><keyword>Alopecia/classification/diagnosis/*etiology/therapy</keyword><keyword>Animals</keyword><keyword>Cicatrix/*complications</keyword><keyword>Humans</keyword></keywords><dates><year>2003</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>1087-0024 (Print)&#xD;1087-0024 (Linking)</isbn><accession-num>12894989</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/12894989</url></related-urls></urls><electronic-resource-num>10.1046/j.1523-1747.2003.12166.x</electronic-resource-num></record></Cite><Cite><Author>Sperling</Author><Year>2000</Year><RecNum>134</RecNum><record><rec-number>134</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262760">134</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Sperling, L. C.</author><author>Homoky, C.</author><author>Pratt, L.</author><author>Sau, P.</author></authors></contributors><auth-address>Department of Dermatology, Uniformed Services University, Bethesda, MD 20814, USA. lsperling@usuhs.mil</auth-address><titles><title>Acne keloidalis is a form of primary scarring alopecia</title><secondary-title>Arch Dermatol</secondary-title></titles><periodical><full-title>Arch Dermatol</full-title></periodical><pages>479-84</pages><volume>136</volume><number>4</number><keywords><keyword>Acne Keloid/etiology/*pathology</keyword><keyword>Adolescent</keyword><keyword>Adult</keyword><keyword>Alopecia/etiology/*pathology</keyword><keyword>Biopsy, Needle</keyword><keyword>Cicatrix/etiology/*pathology</keyword><keyword>Hair/pathology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Prospective Studies</keyword><keyword>Scalp/pathology</keyword><keyword>Terminology as Topic</keyword></keywords><dates><year>2000</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>0003-987X (Print)&#xD;0003-987X (Linking)</isbn><accession-num>10768646</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/10768646</url></related-urls></urls></record></Cite></EndNote>�D<EndNote><Cite><Author>Alexis</Author><Year>2014</Year><RecNum>135</RecNum><DisplayText><style face="superscript">6,10</style></DisplayText><record><rec-number>135</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262838">135</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Alexis, A.</author><author>Heath, C. R.</author><author>Halder, R. M.</author></authors></contributors><auth-address>Department of Dermatology, Skin of Color Center, St. Luke&apos;s-Roosevelt Hospital, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA. Electronic address: alexisderm@yahoo.com.&#xD;Department of Dermatology, St. Luke&apos;s-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA.&#xD;Department of Dermatology, Howard University College of Medicine, 2041 Georgia Avenue, Northwest, Washington, DC 20060, USA.</auth-address><titles><title>Folliculitis keloidalis nuchae and pseudofolliculitis barbae: are prevention and effective treatment within reach?</title><secondary-title>Dermatol Clin</secondary-title></titles><periodical><full-title>Dermatol Clin</full-title></periodical><pages>183-91</pages><volume>32</volume><number>2</number><keywords><keyword>Administration, Topical</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Barbering</keyword><keyword>Dermatologic Agents/therapeutic use</keyword><keyword>Folliculitis/*ethnology/etiology/*therapy</keyword><keyword>Hair Diseases/*ethnology/etiology/*therapy</keyword><keyword>Hair Removal/adverse effects</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Ethnic skin</keyword><keyword>Folliculitis keloidalis nuchae</keyword><keyword>Ingrown hairs</keyword><keyword>Pseudofolliculitis barbae</keyword><keyword>Razor bumps</keyword><keyword>Skin of color</keyword></keywords><dates><year>2014</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1558-0520 (Electronic)&#xD;0733-8635 (Linking)</isbn><accession-num>24680005</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/24680005</url></related-urls></urls><electronic-resource-num>10.1016/j.det.2013.12.001</electronic-resource-num></record></Cite><Cite><Author>Bernardez</Author><Year>2015</Year><RecNum>144</RecNum><record><rec-number>144</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496263258">144</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bernardez, C.</author><author>Molina-Ruiz, A. M.</author><author>Requena, L.</author></authors></contributors><auth-address>Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana.&#xD;Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana. Electronic address: lrequena@fjd.es.</auth-address><titles><title>Histologic features of alopecias: part II: scarring alopecias</title><secondary-title>Actas Dermosifiliogr</secondary-title></titles><periodical><full-title>Actas Dermosifiliogr</full-title></periodical><pages>260-70</pages><volume>106</volume><number>4</number><keywords><keyword>Acne Keloid/pathology</keyword><keyword>Alopecia/classification/diagnosis/*pathology</keyword><keyword>Cicatrix/pathology</keyword><keyword>Darier Disease/pathology</keyword><keyword>Fibrosis</keyword><keyword>Folliculitis/pathology</keyword><keyword>Hair Follicle/pathology</keyword><keyword>Humans</keyword><keyword>Hyperkeratosis, Epidermolytic/pathology</keyword><keyword>Lichen Planus/pathology</keyword><keyword>Lupus Erythematosus, Cutaneous/pathology</keyword><keyword>Lymphocytes/pathology</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Acne necrotico varioliforme</keyword><keyword>Acne queloideo de la nuca</keyword><keyword>Alopecia</keyword><keyword>Alopecia cicatricial centrifuga central</keyword><keyword>Alopecia mucinosa</keyword><keyword>Alopecias cicatriciales</keyword><keyword>Brocq pseudopelade</keyword><keyword>Celulitis/foliculitis disecante</keyword><keyword>Central centrifugal cicatricial alopecia</keyword><keyword>Chronic cutaneous lupus erythematosus</keyword><keyword>Dermatopathology</keyword><keyword>Dermatopatologia</keyword><keyword>Dissecting cellulitis/folliculitis</keyword><keyword>Foliculitis decalvante</keyword><keyword>Follicular lichen planus</keyword><keyword>Folliculitis decalvans</keyword><keyword>Keratosis follicularis spinulosa decalvans</keyword><keyword>Liquen plano folicular</keyword><keyword>Lupus eritematoso cutaneo cronico</keyword><keyword>Necrotizing lymphocytic folliculitis</keyword><keyword>Pseudopelada de Brocq</keyword><keyword>Queratosis folicular espinulosa decalvante</keyword><keyword>Review</keyword><keyword>Revision</keyword><keyword>Scarring alopecia</keyword></keywords><dates><year>2015</year><pub-dates><date>May</date></pub-dates></dates><isbn>1578-2190 (Electronic)&#xD;0001-7310 (Linking)</isbn><accession-num>25439143</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/25439143</url></related-urls></urls><electronic-resource-num>10.1016/j.ad.2014.06.016</electronic-resource-num></record></Cite></EndNote>�D<EndNote><Cite><Author>Alexis</Author><Year>2014</Year><RecNum>135</RecNum><DisplayText><style face="superscript">6,10</style></DisplayText><record><rec-number>135</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262838">135</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Alexis, A.</author><author>Heath, C. R.</author><author>Halder, R. M.</author></authors></contributors><auth-address>Department of Dermatology, Skin of Color Center, St. Luke&apos;s-Roosevelt Hospital, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA. Electronic address: alexisderm@yahoo.com.&#xD;Department of Dermatology, St. Luke&apos;s-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA.&#xD;Department of Dermatology, Howard University College of Medicine, 2041 Georgia Avenue, Northwest, Washington, DC 20060, USA.</auth-address><titles><title>Folliculitis keloidalis nuchae and pseudofolliculitis barbae: are prevention and effective treatment within reach?</title><secondary-title>Dermatol Clin</secondary-title></titles><periodical><full-title>Dermatol Clin</full-title></periodical><pages>183-91</pages><volume>32</volume><number>2</number><keywords><keyword>Administration, Topical</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Barbering</keyword><keyword>Dermatologic Agents/therapeutic use</keyword><keyword>Folliculitis/*ethnology/etiology/*therapy</keyword><keyword>Hair Diseases/*ethnology/etiology/*therapy</keyword><keyword>Hair Removal/adverse effects</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Ethnic skin</keyword><keyword>Folliculitis keloidalis nuchae</keyword><keyword>Ingrown hairs</keyword><keyword>Pseudofolliculitis barbae</keyword><keyword>Razor bumps</keyword><keyword>Skin of color</keyword></keywords><dates><year>2014</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1558-0520 (Electronic)&#xD;0733-8635 (Linking)</isbn><accession-num>24680005</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/24680005</url></related-urls></urls><electronic-resource-num>10.1016/j.det.2013.12.001</electronic-resource-num></record></Cite><Cite><Author>Bernardez</Author><Year>2015</Year><RecNum>144</RecNum><record><rec-number>144</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496263258">144</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bernardez, C.</author><author>Molina-Ruiz, A. M.</author><author>Requena, L.</author></authors></contributors><auth-address>Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana.&#xD;Servicio de Dermatologia, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid, Espana. Electronic address: lrequena@fjd.es.</auth-address><titles><title>Histologic features of alopecias: part II: scarring alopecias</title><secondary-title>Actas Dermosifiliogr</secondary-title></titles><periodical><full-title>Actas Dermosifiliogr</full-title></periodical><pages>260-70</pages><volume>106</volume><number>4</number><keywords><keyword>Acne Keloid/pathology</keyword><keyword>Alopecia/classification/diagnosis/*pathology</keyword><keyword>Cicatrix/pathology</keyword><keyword>Darier Disease/pathology</keyword><keyword>Fibrosis</keyword><keyword>Folliculitis/pathology</keyword><keyword>Hair Follicle/pathology</keyword><keyword>Humans</keyword><keyword>Hyperkeratosis, Epidermolytic/pathology</keyword><keyword>Lichen Planus/pathology</keyword><keyword>Lupus Erythematosus, Cutaneous/pathology</keyword><keyword>Lymphocytes/pathology</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Acne necrotico varioliforme</keyword><keyword>Acne queloideo de la nuca</keyword><keyword>Alopecia</keyword><keyword>Alopecia cicatricial centrifuga central</keyword><keyword>Alopecia mucinosa</keyword><keyword>Alopecias cicatriciales</keyword><keyword>Brocq pseudopelade</keyword><keyword>Celulitis/foliculitis disecante</keyword><keyword>Central centrifugal cicatricial alopecia</keyword><keyword>Chronic cutaneous lupus erythematosus</keyword><keyword>Dermatopathology</keyword><keyword>Dermatopatologia</keyword><keyword>Dissecting cellulitis/folliculitis</keyword><keyword>Foliculitis decalvante</keyword><keyword>Follicular lichen planus</keyword><keyword>Folliculitis decalvans</keyword><keyword>Keratosis follicularis spinulosa decalvans</keyword><keyword>Liquen plano folicular</keyword><keyword>Lupus eritematoso cutaneo cronico</keyword><keyword>Necrotizing lymphocytic folliculitis</keyword><keyword>Pseudopelada de Brocq</keyword><keyword>Queratosis folicular espinulosa decalvante</keyword><keyword>Review</keyword><keyword>Revision</keyword><keyword>Scarring alopecia</keyword></keywords><dates><year>2015</year><pub-dates><date>May</date></pub-dates></dates><isbn>1578-2190 (Electronic)&#xD;0001-7310 (Linking)</isbn><accession-num>25439143</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/25439143</url></related-urls></urls><electronic-resource-num>10.1016/j.ad.2014.06.016</electronic-resource-num></record></Cite></EndNote>D<EndNote><Cite><Author>Alexis</Author><Year>2014</Year><RecNum>135</RecNum><DisplayText><style face="superscript">2,4,10,11</style></DisplayText><record><rec-number>135</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262838">135</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Alexis, A.</author><author>Heath, C. R.</author><author>Halder, R. M.</author></authors></contributors><auth-address>Department of Dermatology, Skin of Color Center, St. Luke&apos;s-Roosevelt Hospital, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA. Electronic address: alexisderm@yahoo.com.&#xD;Department of Dermatology, St. Luke&apos;s-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA.&#xD;Department of Dermatology, Howard University College of Medicine, 2041 Georgia Avenue, Northwest, Washington, DC 20060, USA.</auth-address><titles><title>Folliculitis keloidalis nuchae and pseudofolliculitis barbae: are prevention and effective treatment within reach?</title><secondary-title>Dermatol Clin</secondary-title></titles><periodical><full-title>Dermatol Clin</full-title></periodical><pages>183-91</pages><volume>32</volume><number>2</number><keywords><keyword>Administration, Topical</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Barbering</keyword><keyword>Dermatologic Agents/therapeutic use</keyword><keyword>Folliculitis/*ethnology/etiology/*therapy</keyword><keyword>Hair Diseases/*ethnology/etiology/*therapy</keyword><keyword>Hair Removal/adverse effects</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Ethnic skin</keyword><keyword>Folliculitis keloidalis nuchae</keyword><keyword>Ingrown hairs</keyword><keyword>Pseudofolliculitis barbae</keyword><keyword>Razor bumps</keyword><keyword>Skin of color</keyword></keywords><dates><year>2014</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1558-0520 (Electronic)&#xD;0733-8635 (Linking)</isbn><accession-num>24680005</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/24680005</url></related-urls></urls><electronic-resource-num>10.1016/j.det.2013.12.001</electronic-resource-num></record></Cite><Cite><Author>Esmat</Author><Year>2012</Year><RecNum>129</RecNum><record><rec-number>129</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262615">129</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Esmat, S. M.</author><author>Abdel Hay, R. M.</author><author>Abu Zeid, O. M.</author><author>Hosni, H. N.</author></authors></contributors><auth-address>Dermatology Department, Faculty of Medicine, Cairo University, 13th Abrag Othman, Kornish El Maadi, Cairo 11431, Egypt.</auth-address><titles><title>The efficacy of laser-assisted hair removal in the treatment of acne keloidalis nuchae; a pilot study</title><secondary-title>Eur J Dermatol</secondary-title></titles><periodical><full-title>Eur J Dermatol</full-title></periodical><pages>645-50</pages><volume>22</volume><number>5</number><keywords><keyword>Acne Keloid/complications/*pathology/*surgery</keyword><keyword>Adult</keyword><keyword>Biopsy</keyword><keyword>Erythema/complications</keyword><keyword>Follow-Up Studies</keyword><keyword>*Hair Removal/adverse effects</keyword><keyword>Humans</keyword><keyword>Lasers, Solid-State/adverse effects/*therapeutic use</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Pilot Projects</keyword><keyword>Severity of Illness Index</keyword><keyword>Skin/*pathology</keyword><keyword>Statistics, Nonparametric</keyword><keyword>Treatment Outcome</keyword><keyword>Young Adult</keyword></keywords><dates><year>2012</year><pub-dates><date>Sep-Oct</date></pub-dates></dates><isbn>1952-4013 (Electronic)&#xD;1167-1122 (Linking)</isbn><accession-num>23018044</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/23018044</url></related-urls></urls><electronic-resource-num>10.1684/ejd.2012.1830</electronic-resource-num></record></Cite><Cite><Author>Maranda</Author><Year>2016</Year><RecNum>127</RecNum><record><rec-number>127</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262374">127</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Maranda, E. L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Millan-Cayetano</Author><Year>2017</Year><RecNum>128</RecNum><record><rec-number>128</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262595">128</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Millan-Cayetano, J. 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B.</author><author>Del Boz, J.</author><author>de Troya-Martin, M.</author></authors></contributors><auth-address>Servicio de Dermatologia, Hospital Costa del Sol, Marbella, Spain.</auth-address><titles><title>Refractory acne keloidalis nuchae treated with radiotherapy</title><secondary-title>Australas J Dermatol</secondary-title></titles><periodical><full-title>Australas J Dermatol</full-title></periodical><pages>e11-e13</pages><volume>58</volume><number>1</number><keywords><keyword>acne keloidalis nuchae</keyword><keyword>radiotherapy</keyword><keyword>scarring alopecia</keyword></keywords><dates><year>2017</year><pub-dates><date>Feb</date></pub-dates></dates><isbn>1440-0960 (Electronic)&#xD;0004-8380 (Linking)</isbn><accession-num>26223375</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/26223375</url></related-urls></urls><electronic-resource-num>10.1111/ajd.12380</electronic-resource-num></record></Cite></EndNote>D<EndNote><Cite><Author>Alexis</Author><Year>2014</Year><RecNum>135</RecNum><DisplayText><style face="superscript">2,4,10,11</style></DisplayText><record><rec-number>135</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262838">135</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Alexis, A.</author><author>Heath, C. R.</author><author>Halder, R. M.</author></authors></contributors><auth-address>Department of Dermatology, Skin of Color Center, St. Luke&apos;s-Roosevelt Hospital, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA. Electronic address: alexisderm@yahoo.com.&#xD;Department of Dermatology, St. Luke&apos;s-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11 B, New York, NY 10025, USA.&#xD;Department of Dermatology, Howard University College of Medicine, 2041 Georgia Avenue, Northwest, Washington, DC 20060, USA.</auth-address><titles><title>Folliculitis keloidalis nuchae and pseudofolliculitis barbae: are prevention and effective treatment within reach?</title><secondary-title>Dermatol Clin</secondary-title></titles><periodical><full-title>Dermatol Clin</full-title></periodical><pages>183-91</pages><volume>32</volume><number>2</number><keywords><keyword>Administration, Topical</keyword><keyword>*African Continental Ancestry Group</keyword><keyword>Barbering</keyword><keyword>Dermatologic Agents/therapeutic use</keyword><keyword>Folliculitis/*ethnology/etiology/*therapy</keyword><keyword>Hair Diseases/*ethnology/etiology/*therapy</keyword><keyword>Hair Removal/adverse effects</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Acne keloidalis nuchae</keyword><keyword>Ethnic skin</keyword><keyword>Folliculitis keloidalis nuchae</keyword><keyword>Ingrown hairs</keyword><keyword>Pseudofolliculitis barbae</keyword><keyword>Razor bumps</keyword><keyword>Skin of color</keyword></keywords><dates><year>2014</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1558-0520 (Electronic)&#xD;0733-8635 (Linking)</isbn><accession-num>24680005</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/24680005</url></related-urls></urls><electronic-resource-num>10.1016/j.det.2013.12.001</electronic-resource-num></record></Cite><Cite><Author>Esmat</Author><Year>2012</Year><RecNum>129</RecNum><record><rec-number>129</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262615">129</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Esmat, S. 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L.</author><author>Simmons, B. J.</author><author>Nguyen, A. H.</author><author>Lim, V. M.</author><author>Keri, J. E.</author></authors></contributors><auth-address>Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA.&#xD;Creighton University School of Medicine, Omaha, NE, USA. victoriamlim@gmail.com.</auth-address><titles><title>Treatment of Acne Keloidalis Nuchae: A Systematic Review of the Literature</title><secondary-title>Dermatol Ther (Heidelb)</secondary-title></titles><periodical><full-title>Dermatol Ther (Heidelb)</full-title></periodical><pages>363-78</pages><volume>6</volume><number>3</number><keywords><keyword>Acne keloidalis nuchae</keyword><keyword>Hair disorders</keyword><keyword>Lasers</keyword><keyword>Systematic review</keyword><keyword>Therapy</keyword><keyword>Treatment</keyword></keywords><dates><year>2016</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>2193-8210 (Print)</isbn><accession-num>27432170</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/27432170</url></related-urls></urls><custom2>PMC4972740</custom2><electronic-resource-num>10.1007/s13555-016-0134-5</electronic-resource-num></record></Cite><Cite><Author>Millan-Cayetano</Author><Year>2017</Year><RecNum>128</RecNum><record><rec-number>128</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262595">128</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Millan-Cayetano, J. 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A.</author></authors></contributors><auth-address>Department of Dermatology, University Hospital of North Durham, Durham, UK. vrinda_bajaj@hotmail.com</auth-address><titles><title>Surgical excision of acne keloidalis nuchae with secondary intention healing</title><secondary-title>Clin Exp Dermatol</secondary-title></titles><periodical><full-title>Clin Exp Dermatol</full-title></periodical><pages>53-5</pages><volume>33</volume><number>1</number><keywords><keyword>Acne Keloid/pathology/*surgery</keyword><keyword>Adult</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Neck/pathology/*surgery</keyword><keyword>Scalp Dermatoses/pathology/*surgery</keyword><keyword>Treatment Outcome</keyword><keyword>Wound Healing/physiology</keyword></keywords><dates><year>2008</year><pub-dates><date>Jan</date></pub-dates></dates><isbn>0307-6938 (Print)&#xD;0307-6938 (Linking)</isbn><accession-num>17927781</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/17927781</url></related-urls></urls><electronic-resource-num>10.1111/j.1365-2230.2007.02549.x</electronic-resource-num></record></Cite><Cite><Author>Beckett</Author><Year>2011</Year><RecNum>105</RecNum><record><rec-number>105</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262140">105</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Beckett, N.</author><author>Lawson, C.</author><author>Cohen, G.</author></authors></contributors><titles><title>Electrosurgical excision of acne keloidalis nuchae with secondary intention healing</title><secondary-title>J Clin Aesthet Dermatol</secondary-title></titles><periodical><full-title>J Clin Aesthet Dermatol</full-title></periodical><pages>36-9</pages><volume>4</volume><number>1</number><dates><year>2011</year><pub-dates><date>Jan</date></pub-dates></dates><isbn>1941-2789 (Print)&#xD;1941-2789 (Linking)</isbn><accession-num>21278897</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/21278897</url></related-urls></urls><custom2>PMC3030213</custom2></record></Cite><Cite><Author>Etzkorn</Author><Year>2012</Year><RecNum>106</RecNum><record><rec-number>106</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262158">106</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Etzkorn, J. R.</author><author>Chitwood, K.</author><author>Cohen, G.</author></authors></contributors><auth-address>University of South Florida, Department of Dermatology and Cutaneous Surgery, Tampa, FL, USA. jetzkorn@health.usf.edu</auth-address><titles><title>Tumor stage acne keloidalis nuchae treated with surgical excision and secondary intention healing</title><secondary-title>J Drugs Dermatol</secondary-title></titles><periodical><full-title>J Drugs Dermatol</full-title></periodical><pages>540-1</pages><volume>11</volume><number>4</number><keywords><keyword>Acne Keloid/pathology/*surgery</keyword><keyword>Adult</keyword><keyword>Follow-Up Studies</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Scalp Dermatoses/pathology/*surgery</keyword><keyword>Treatment Outcome</keyword><keyword>*Wound Healing</keyword></keywords><dates><year>2012</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1545-9616 (Print)&#xD;1545-9616 (Linking)</isbn><accession-num>22453597</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/22453597</url></related-urls></urls></record></Cite></EndNote>�D<EndNote><Cite><Author>Bajaj</Author><Year>2008</Year><RecNum>104</RecNum><DisplayText><style face="superscript">5,12,13</style></DisplayText><record><rec-number>104</rec-number><foreign-keys><key app="EN" db-id="50vrvf9fh9wd2reaeza55r2gv9w5rttfdxzw" timestamp="1496262122">104</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bajaj, V.</author><author>Langtry, J. 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R.</author><author>Chitwood, K.</author><author>Cohen, G.</author></authors></contributors><auth-address>University of South Florida, Department of Dermatology and Cutaneous Surgery, Tampa, FL, USA. jetzkorn@health.usf.edu</auth-address><titles><title>Tumor stage acne keloidalis nuchae treated with surgical excision and secondary intention healing</title><secondary-title>J Drugs Dermatol</secondary-title></titles><periodical><full-title>J Drugs Dermatol</full-title></periodical><pages>540-1</pages><volume>11</volume><number>4</number><keywords><keyword>Acne Keloid/pathology/*surgery</keyword><keyword>Adult</keyword><keyword>Follow-Up Studies</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Scalp Dermatoses/pathology/*surgery</keyword><keyword>Treatment Outcome</keyword><keyword>*Wound Healing</keyword></keywords><dates><year>2012</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1545-9616 (Print)&#xD;1545-9616 (Linking)</isbn><accession-num>22453597</accession-num><urls><related-urls><url>http://www.ncbi.nlm.nih.gov/pubmed/22453597</url></related-urls></urls></record></Cite></EndNote>gDd|8����^�
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