Medical Care Treatment:
Treatment of acne keloidalis nuchae (AKN) is difficult, and numerous modalities have been used with varying degrees of success. No single therapy has emerged as definitely first-line. The first step in management is education, which is key to preventing disease progression. Patients need to be made aware that the condition is exacerbated by short haircuts and close shaving. In addition, tight-fitting collared shirts, athletic head gear, and self-manipulation should be avoided since they may lead to mechanical shearing of the hairs.
Initiating therapy as quickly as possible after the initial appearance of lesions decreases the chance of long-term cosmetic disfigurement. Topical antimicrobial cleaners/shampoos such as gentle foaming benzoyl peroxide washes or chlorhexidine can help prevent secondary infection. Tar shampoos may provide an effective alternative. In addition, mild keratolytic agents containing alpha-hydroxy acids or topical retinoids may help soften the coarse hairs. Patients should discontinue hair greases or pomades, which can interfere with hair growth. Early, mild papular disease may respond to potent or superpotent topical steroids with or without the use of topical retinoids. This latter combination seems to be somewhat more effective than superpotent topical steroids alone.
When pus or serous drainage is present, a culture should be taken. The use of a topical antibiotic (such as clindamycin) twice-daily may be advantageous to treat any bacterial superinfection. If active folliculitis is present, oral antibiotics such as doxycycline or minocycline should be used for several weeks to gain control over the inflammation. If active folliculitis persists or progresses despite adequate therapy, perform tissue culture and treat accordingly.
Intralesional triamcinolone acetonide injection can be helpful to reduce the size and firmness of papules and nodules. Doses range from 5 mg/mL up to 40 mg/mL for more firm and large lesions. Pretreatment anesthesia with topical lidocaine cream may reduce pain during injection. Alternatively, triamcinolone may be diluted in lidocaine to provide anesthesia with injection. Risks include skin atrophy and hypopigmentation. Liquid nitrogen may be administered to lesions to create edema and ease the injection process. Lesions may also be debulked by shaving or curetting prior to injection with triamcinolone.
Recently, Okoye et al showed that targeted ultraviolet B (290-320nm) phototherapy, three times weekly for 8 weeks, may improve the clinical appearance of fibrotic papules. In rare cases in which patients have large, inflamed lesions, a short course of oral corticosteroids may be considered.
Well i had terrible experiences with plenty other products of bumps treatment. Infact, i treated my bumps twice with Steroids injection in South Africa and in less than 6months, they re-occured, this is not taking to fact, the many side effects that steroids have on your body.
I battled Keloid (bumps) for over 10 years, until i encountered this powerful drug. Let me quickly add that i visited the then popular AB Bumps twice and the pain for their treatment was unbearable. I shed tears countless time while going through their treatment.
Bumps are extremely stubborn and differs from people to people. Mine was one of the
most stubborn keloids i have ever seen. It will be treated and it will come back until i discover the final solution. Its been three years now, no single scratch, itch or growth at the back of my neck. Plus my hair has grown back, no sign that i ever had keloids, other lesion treatment leave behind permanent scar that becomes obvious and visible to the eyes but not this product.
It is not cheap, so dont expect a quick fix, if you are really tired of the keloids and want to get it out, then contact me, i will send you the drugs and cream. You will see results in two weeks. depending on the size, it will most likely clear out by the fourth week.
It is very powerful and completely no side effects free. It is not herbal product, this is a pure English drugs specifically for Keloids (bumps).
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