Non itching lesion Since 16 year Diagnosis please ?

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Dr. Akhilesh, Multiple discrete pimple like lesions on nape of the neck with hard consistency and tender to touch. Bleeds on remove the lesions more favour to ACNE KELOIDALIS NUCHAE...AKN... TREATMENT... Remove the lesions by RADIOFREQUENCY cautery ..( economic) ...and TCA application Followed by intralesional triamcinolone Topical and oral antibiotics... Tab ISOTRETINOIN to reduce the inflammation and bleeding Expensive procedures like Nd: yag LASER 1084 nm more specific treatment..

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Sebborrhic dermititis Rx tab azithromycin 500mg 1od Tab Levocetrizine5mg Locally fucibact oint twice daily Review after one week

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Typically Seborrheic dermatitis Tab foristal1bd Ointment Neosporin locally

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Allergic contact dermatitis Zocon Baclate Cetirizine

Seborrheic dermatitis

Seborric dermatitis

It's a case of Acne keloidalis nuchae, a type of folliculitis For prevention: avoid close haircut/shaving, avoid tight clothes. For treatment: Temporary: Momate F cream. Recurrence common Permanent: Laser hair removal Other option which can be tried: Ionax T shampoo General opinion: We dermatologist never give Neosporin treatment as it itself is known to cause allergic contact dermatitis. Instead we prefer Mupirocin/Fusidic acid

? AKN

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Acne keloidalis nuchae (AKN)

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Agreed with Dr.Kishore K

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