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Acne keloidalis nuchae and hypertension in black subjects: a case-control study
Bayaki Saka1, Julienne Noude Teclessou2, Sefako Abla Akakpo3
1Service de Dermatolgie et IST, CHU Sylvanus Olympio, Université de Lomé, BP. 30785, Lome, Togo. barthelemysaka@yahoo.fr.
Objective:
The aim of this case-control study was to look for an association between hypertension and acne keloidalis nuchae (AKN) in black subjects.
Results:
We recruited 303 consenting subjects comprising 101 patients with AKN and 202 controls, case-matched by age (± 5 years). The mean patients age was 34.9 ± 10.7 years versus 35.6 ± 11.2 years for controls. The average duration of AKN progression in cases prior to consultation was 1831 days (5 years). The most frequently observed AKN lesions were papules (73/101; 72.3%), fibrous scars (42/101; 41.6%) and folliculitis/pustules (41/101; 40.6%). In terms of quality of life, the mean score of dermatology life quality index was 8.3 ± 5.2 (extremes: 0 to 22). In multivariate analysis, having a BMI of 25 kg/m2 or more (OR = 4.91; p < 0.001) and having systolic hypertension (OR = 1.22; p = 0.010) were associated with AKN.
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