Acne Keloidalis Nuchae and its relation to markers of Metabolic Syndrome

Dr. Krishna Bhalala; Dr. Dhara Zankat; Dr. Anugrah Parikh; Dr. Kinjal Patel

Volume : IX, Issue : III, March - 2020

Acne Keloidalis Nuchae and its relation to markers of Metabolic Syndrome

Dr. Krishna Bhalala, Dr. Dhara Zankat, Dr. Anugrah Parikh, Dr. Kinjal Patel

Abstract :

BACKGROUND: Acne keloidalis nuchae (AKN) is a chronic scarring folliculitis which usually occurs in young adult males. Studies have suggested that AKN may be associated with general medical disorders particularly metabolic syndrome. AIM: To study the metabolic syndrome markers in patients of acne keloidalis nuchae. METHOD: The study was a prospective, descriptive and analytical study conducted at the Dermatology Outpatient Department of the Gujarat Adani Institute of Medical Sciences, Bhuj. Data were obtained from the medical records of patients diagnosed with AKN over a one year period (2017–2018). RESULTS: We describe a case series of 24 Indian patients with AKN. Known risk factors for AKN like as curly hair or weå of a helmet were not present in these patients. All patients were male and age was between 20 to 40 years. Out of twenty four patients, 10 patients (41.06%) were found to be normal, 14 patients (58.33%) were obese. 9 (37.50%) patients had type 2 hypertension (140–159mmHg) and 7(29.16%) had hyperlipidemia.(S.TG >150mg/dl, HDL<40mg/dl). 10(41.66%) patient had elevated fasting glucose(>100 mg/dl).Out of these 10 patients six were diagnosed 1st time during investigation. CONCLUSION: AKN is considered a cutaneous marker for the metabolic syndrome but further studies by dermatologists will be necessary to confirm this clinical observation.