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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Small Bumps On The Back Of The Neck

In the middle of the back of my husbands neck, just above the hairline he has had 4 pimple like bumps for about 2 months. They are very inflamed and hard to pop. We are not sure what it is or how to treat this. When he went to the physician they placed him on an antibiotics with a cream. Please help
Tue, 9 Jun 2015
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Dermatologist,  's  Response
Hi,

Your husband seems to have a skin disease called acne keloidalis nuche. It is a disease if hair follicles. There is an inflammatory changes along with keloidal tendency. It is a chronic and relapsing disease.

You consult dermatologist for firm diagnosis and treatment.

Still, I would recommend as follow..

- application of tretinoin 0.012% gel on the lesions
- cap minocycline 50 mg once a day
- cap isotretinoin 10 mg once a day
- intradermal steroid- triamcenolone 10 mg injection fortnightly

I hope this would help you.

Thanks.

Dr. Ilyas Patel MD
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Suggest Treatment For Small Bumps On The Back Of The Neck

Hi, Your husband seems to have a skin disease called acne keloidalis nuche. It is a disease if hair follicles. There is an inflammatory changes along with keloidal tendency. It is a chronic and relapsing disease. You consult dermatologist for firm diagnosis and treatment. Still, I would recommend as follow.. - application of tretinoin 0.012% gel on the lesions - cap minocycline 50 mg once a day - cap isotretinoin 10 mg once a day - intradermal steroid- triamcenolone 10 mg injection fortnightly I hope this would help you. Thanks. Dr. Ilyas Patel MD