Visit www.dermhairclinic.com for more information. Acne keloidalis nuchae, or AKN, is a type of chronic folliculitis that manifests in large and often painful lesions on the occipital scalp and back of the neck. The condition, not to be confused with acne vulgaris, begins with papules and pustules in the hair follicle, which grow to inflamed keloidlike tissue. This tissue adversely affects normal hair growth in the distressed area. The condition, also seen as a cause of cicatricial alopecia, is most common among young men of African decent, but may also affect Asians and Hispanics. The patient in this video suffered with AKN for about six years. He had tried a six-month run of oral medications to abate the problem and saw no change. Five months after Dr. Umar surgically excised the patient’s AKN mass, there is no trace of the condition, and only minimal scarring. The patient is extremely pleased with his results.