Refractory acne keloidalis nuchae treated with radiotherapy

Area of Science:

• Dermatology
• Radiation Oncology

Background:

• Acne keloidalis nuchae (AKN) presents a significant therapeutic challenge with typically poor patient response to conventional treatments.
• Scarring alopecia, including AKN, has limited reported treatment modalities, with few studies investigating radiotherapy (RT).

Observation:

• A case of AKN, resistant to multiple prior treatments, was observed.
• The patient presented with refractory AKN, necessitating exploration of alternative therapeutic strategies.

Findings:

• The patient's refractory AKN demonstrated a remarkable clinical and cosmetic improvement following radiotherapy (RT).
• Radiotherapy (RT) proved effective in managing a treatment-resistant case of acne keloidalis nuchae.

Implications:

• Radiotherapy (RT) emerges as a viable and effective treatment option for recalcitrant acne keloidalis nuchae (AKN).
• This case highlights the potential of RT in managing difficult scarring alopecia conditions, warranting further investigation.