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Fig 1.

Patient selection diagram.

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Table 1.

Clinical features of 17 Korean men with acne keloidalis nuchae.

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Fig 2.

Clinical features of acne keloidalis nuchae (AKN) in 17 Korean patients.

Follicular papules progressed to keloidal plaques with loss of hair. (a) 20-year-old man developed a lesion 3 months ago. (b) 26-year-old man developed a lesion 2 years ago. (c) 54-year-old man developed a lesion 13 years ago.

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Fig 3.

Histological features of acne keloidalis nuchae (AKN) in 17 Korean patients.

Excised AKN specimen stained with hematoxylin and eosin. (a) Low-power view of specimen showing ruptured hair follicle in the mid-third portion of the dermis and irregularly arranged compact collagen bundles (magnification, 40×). (b) Some naked hair shafts and remaining follicular epithelium admixed with acute and chronic inflammatory cells (magnification, 100×). (c) Perifollicular region infiltrated by neutrophils, histiocytes, lymphocytes, eosinophils, and plasma cells (magnification, 200×). (d) Compact collagen bundles and dilated vasculature with lymphoplasmacytic infiltrate (magnification, 200×).

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