Treatment

Combinations of treatments can bring the greatest success in this hair disease. Topical or oral antibiotics can help decrease inflammation. These oral antibiotics can be coupled with intralesional steroids which can be directly injected into the papules or keloidal nodules for best results. But before the usage of intralesional steroid treatments, patients should be aware that the injected area might become hypopigmented. If this side effect occurs, it may remain for 6-12 months.

For the severe cases of acne keloidalis nuchae, hair removal by laser can be used. Laser hair removal will reduce the hair growth in the particular area thereby reducing the likelihood of inflammation. But it should be always remembered that after the application of carbon-dioxide laser, the hair growth of the particular area will be permanently reduced.

Other conditions

African American people, especially women, generally suffer from Traction Alopecia due to their tight braiding and various other tight hairstyle accessory like hard rubber hand. These tight hair styles lead to the loosening of the hair from the follicle accompanied by follicular-based inflammation in the scalp. Another hair disease that the African women are generally more likely to suffer from compared to other ethnic groups is Scarring Alopecia.

There are various categories and sub categories of Scarring Alopecia. African American women are more prone to suffer from chronic cutaneous lupus, and central centrifugal scarring alopecia, Central Centrifugal Scarring Alopecia completely destroys the hair follicle and replaces it with scar tissue, causing permanent hair loss.

Treating scalp hair disorders is a challenging task because of the emotional nature of hair loss and sometimes because the pathogenesis of the condition is unknown. Treating African-American patients can add an extra degree of complexity as the characteristic feature of African hair is usually rigid and curly. So it is necessary to approach a dermatologist who is expert in his skills and has prior experience specifically with hair conditions in African-Americans. But before you approach, remain informed yourself about the common scalp diseases and their related medications or other useful black hair care products. ir disorder can spontaneously improve with age.