Acne keloidalis nuchae (AKN) is a relatively rare chronic inflammatory condition that leads to alopecia on the occipital scalp. Multiple large keloids and alopecia associated with long-lasting folliculitis impair the ...Acne keloidalis nuchae (AKN) is a relatively rare chronic inflammatory condition that leads to alopecia on the occipital scalp. Multiple large keloids and alopecia associated with long-lasting folliculitis impair the psychosocial functioning of patients. We report successful treatment of alopecia associated with AKN. When a 23-year-old male was referred to us, a large area of alopecia and multiple keloids associated with AKN were found. Following total excision of the lesion, the defect was reconstructed with two rotation flaps elevated bilaterally. Most patients with AKN undergo conservative treatments including oral antibiotics and local steroid injections. As surgical treatments, excision followed by skin grafting or second-intention healing has been reported. However, all of the previously-reported treatments have left alopecia on the occipital region. Although long scars might be left in the scalp, local flap reconstruction would be an option for the treatment of large areas of alopecia associated with AKN.展开更多
Acne keloidalis nuchae(AKN)is a disease of unclear etiology that mainly affects males.Medical treatment of AKN is difficult,with refractory cases often requiring ablation by laser or surgical resection.We report herei...Acne keloidalis nuchae(AKN)is a disease of unclear etiology that mainly affects males.Medical treatment of AKN is difficult,with refractory cases often requiring ablation by laser or surgical resection.We report herein,a 23-year-old male with refractory AKN treated successfully with combined laser ablation,using an 810-nm diode laser and a 1064-nm Nd:YAG laser.展开更多
Background: Hair loss at the nape of the neck causes embarrassment and psychological stress in a number of patients due to a variety of causes including acne keloidalis nuchae and traction alopecia. Objectives: To rep...Background: Hair loss at the nape of the neck causes embarrassment and psychological stress in a number of patients due to a variety of causes including acne keloidalis nuchae and traction alopecia. Objectives: To report a case of hair transplantation into the nape of the neck as a treatment option for scarring resulting from acne keloidalis nuchae. Methods: 700 grafts where transplanted from the occipital donor area and transplanted by follicular unit extraction (FUE) into the nape area of a male patient with recurrent scarring folliculitis in that area. Results: Hair Restoration was successful with natural looking results. More tumescence than usual and skin traction was necessary to stabilize the skin during graft insertion due to soft skin in the nape area. Conclusions: Hair Restoration Surgery into the nape of the neck is an option for patients with hair loss in that area. FUE is the best method of hair transplantation allowing the selection of 1 and 2 hair FUE grafts in order to achieve a natural looking result in the nape area.展开更多
目的:研究项韧带钙化与颈椎后纵韧带骨化在相关影像学上的改变,探讨其临床意义。方法:回顾性收集264例自2012年9月至2015年10月因颈椎退行性疾病就诊于皖南医学院弋矶山医院脊柱骨科患者的影像学资料,按颈椎X线侧位片上项韧带有无钙化...目的:研究项韧带钙化与颈椎后纵韧带骨化在相关影像学上的改变,探讨其临床意义。方法:回顾性收集264例自2012年9月至2015年10月因颈椎退行性疾病就诊于皖南医学院弋矶山医院脊柱骨科患者的影像学资料,按颈椎X线侧位片上项韧带有无钙化分为钙化组和无钙化组,观察两组患者的性别、年龄及后纵韧带骨化的患病率;项韧带钙化按形态不同分为类圆形、长条状、混合型,比较3组人群性别、年龄及后纵韧带骨化的患病率。结果:264例患者中出现项韧带钙化(Ossification of the ligamentum nuchae,OLN)患者100例,患病率为38.0%,平均年龄为55.2岁;出现后纵韧带骨化(Ossification of posterior longitudinal ligament,OPLL)患者77例,患病率为29.0%,平均年龄为55.7岁。钙化组与无钙化组人群年龄与性别比较差异无统计学意义(P>0.05),但OPLL患病率比较,差异有统计学意义(P<0.05);OLN类圆型46例,长条型19例,混合型35例,3组OLN不同形态人群性别、年龄和OPLL患病率比较差异无统计学意义(P>0.05)。结论:OLN与OPLL之间存在着密切的相关改变,提示它们可能源于同样的诱发因素,有助于提高OPLL临床检出率。展开更多
文摘Acne keloidalis nuchae (AKN) is a relatively rare chronic inflammatory condition that leads to alopecia on the occipital scalp. Multiple large keloids and alopecia associated with long-lasting folliculitis impair the psychosocial functioning of patients. We report successful treatment of alopecia associated with AKN. When a 23-year-old male was referred to us, a large area of alopecia and multiple keloids associated with AKN were found. Following total excision of the lesion, the defect was reconstructed with two rotation flaps elevated bilaterally. Most patients with AKN undergo conservative treatments including oral antibiotics and local steroid injections. As surgical treatments, excision followed by skin grafting or second-intention healing has been reported. However, all of the previously-reported treatments have left alopecia on the occipital region. Although long scars might be left in the scalp, local flap reconstruction would be an option for the treatment of large areas of alopecia associated with AKN.
文摘Acne keloidalis nuchae(AKN)is a disease of unclear etiology that mainly affects males.Medical treatment of AKN is difficult,with refractory cases often requiring ablation by laser or surgical resection.We report herein,a 23-year-old male with refractory AKN treated successfully with combined laser ablation,using an 810-nm diode laser and a 1064-nm Nd:YAG laser.
文摘Background: Hair loss at the nape of the neck causes embarrassment and psychological stress in a number of patients due to a variety of causes including acne keloidalis nuchae and traction alopecia. Objectives: To report a case of hair transplantation into the nape of the neck as a treatment option for scarring resulting from acne keloidalis nuchae. Methods: 700 grafts where transplanted from the occipital donor area and transplanted by follicular unit extraction (FUE) into the nape area of a male patient with recurrent scarring folliculitis in that area. Results: Hair Restoration was successful with natural looking results. More tumescence than usual and skin traction was necessary to stabilize the skin during graft insertion due to soft skin in the nape area. Conclusions: Hair Restoration Surgery into the nape of the neck is an option for patients with hair loss in that area. FUE is the best method of hair transplantation allowing the selection of 1 and 2 hair FUE grafts in order to achieve a natural looking result in the nape area.
文摘目的:研究项韧带钙化与颈椎后纵韧带骨化在相关影像学上的改变,探讨其临床意义。方法:回顾性收集264例自2012年9月至2015年10月因颈椎退行性疾病就诊于皖南医学院弋矶山医院脊柱骨科患者的影像学资料,按颈椎X线侧位片上项韧带有无钙化分为钙化组和无钙化组,观察两组患者的性别、年龄及后纵韧带骨化的患病率;项韧带钙化按形态不同分为类圆形、长条状、混合型,比较3组人群性别、年龄及后纵韧带骨化的患病率。结果:264例患者中出现项韧带钙化(Ossification of the ligamentum nuchae,OLN)患者100例,患病率为38.0%,平均年龄为55.2岁;出现后纵韧带骨化(Ossification of posterior longitudinal ligament,OPLL)患者77例,患病率为29.0%,平均年龄为55.7岁。钙化组与无钙化组人群年龄与性别比较差异无统计学意义(P>0.05),但OPLL患病率比较,差异有统计学意义(P<0.05);OLN类圆型46例,长条型19例,混合型35例,3组OLN不同形态人群性别、年龄和OPLL患病率比较差异无统计学意义(P>0.05)。结论:OLN与OPLL之间存在着密切的相关改变,提示它们可能源于同样的诱发因素,有助于提高OPLL临床检出率。
