Acne Necrotica Miliaris

Acne Necrotica Miliaris

Overview

A rare, chronic folliculitis characterized by small follicular papules and pustules with central necrosis on the scalp, forehead, and hairline. The condition is often mistaken for acne and may cause scarring alopecia with permanent hair loss.

Key Symptoms

• Small firm papules and pustules with central necrosis
• Concentrated on scalp margin and hairline
• Mild to moderate pruritus and tenderness
• Purulent drainage from lesions
• Progressive scarring alopecia
• Lesions that heal with permanent scarring

Affected Areas

Scalp margin and hairline, Forehead, Anterior scalp, Temporal regions

Care Instructions

1. Rule out underlying systemic infections.
2. Maintain gentle scalp hygiene with non-irritating shampoos.
3. Apply topical corticosteroids or antibiotics as prescribed.
4. Avoid unnecessary manipulation or picking of lesions.
5. Consider systemic antibiotics if infection is confirmed.
6. Monitor for progressive scarring alopecia.

Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified dermatologist for diagnosis and treatment.

Prevalence: A rare condition with uncertain prevalence, more commonly seen in adults