13/07/2026
THOSE "BUMPS" AT THE BACK OF YOUR NECK MAY NOT BE KELOIDS!
Many people think these bumps are ordinary pimples or true keloids.
Not always.
They are commonly caused by Acne Keloidalis Nuchae (AKN)—a chronic inflammation of the hair follicles at the back of the neck.
What causes it?
- Frequent close shaving or skin fades.
- Haircut clippers causing repeated irritation.
- Tight shirt collars, helmets, or repeated friction on the neck.
- Naturally curly or coarse hair growing back into the skin.
- Genetics may increase the risk.
Symptoms
- Small itchy bumps after haircuts.
- Painful or tender bumps.
- Pus-filled spots in some people.
- Thick raised scars if left untreated.
- Permanent hair loss over the affected area.
How is it treated?
Treatment depends on how severe it is.
A healthcare professional may prescribe one or more of the following:
- Antibiotic creams or gels (e.g. Clindamycin gel, Erythromycin gel).
- Oral antibiotics (e.g. Doxycycline, Minocycline, or Cephalexin if there is secondary bacterial infection).
- Corticosteroid injections (e.g. Triamcinolone injection) for thick scars.
- Topical retinoids (e.g. Tretinoin or Adapalene) in selected cases.
- Laser hair removal for recurrent disease.
- Surgery for very large scar tissue.
⚠️ The medicines mentioned above are examples only. They are not meant for self-medication. Please consult a qualified healthcare professional for proper diagnosis and treatment, as not every bump at the back of the neck is Acne Keloidalis Nuchae. Some may be bacterial folliculitis, fungal infections, boils, or other skin conditions that require different treatment.
Prevention
✔ Avoid very close skin fades.
✔ Use clean, disinfected clippers.
✔ Reduce repeated friction from collars or helmets.
✔ Treat bumps early before they become thick scars.
✔ Don't pick, squeeze, or scratch the bumps.
The earlier Acne Keloidalis Nuchae is treated, the better the outcome. Once thick scars form, treatment becomes much more difficult.
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