Association of Acne Keloidalis Nuchae with Diabetes Mellitus and obesity

Abstract

BackgroundA chronic scarring folliculitis, acne keloidalis nuchae (AKN) is more common in black men (1, 2). Its incidence varies between 1.6% and 16.1%. Nape and occipital region almost solely affected. Earlier research has shown a significant link between AKN and MS (5), with a focus on the link between obesity and AKN (6). Patients with a high body mass index are not necessarily diagnosed with insulin resistance and metabolic syndrome. Patients with AKN tend to be overweight, which shows that the two conditions may occur simultaneously. (7) Patient and methodFrom the months of August 2020 through January 2022, we surveyed a sample of residents of Hilla city for a case series study. 33 of these patients were found to have AKN. Participating patients were scouted at dermatology clinics that serve the general public. Body mass index was determined after a general physical examination (height and weight) and samples were sent off to be tested for HBA1C and RBS.Aim To know whether the obesity or diabetes consider a risk factor for acne keliodalis nuchae and which one condition is more effective. Results A case series study was done in a total of 33 patient, all males, with a mean age of of 42 years (range19-70years) were included .and median BMI (body mass index) 34 (range21.9-45.9). overweight and obesity were found in 30 patients (90.9%). normal BMI less than 24.9 were found in 3 patients (9%) patients. Regarding hyperglycemia were found in 20(60.6%) diabetic patients while 13(39.4%) was nondiabetic and 12(60%) patients from those diabetics were HBA1c is high more than 7 and 14 (42.42%) patients were high RBS. Percentage of obesity in AKN was 90.9% while percentage of DM was 60.6% meaning that obesity more associated than DM in AKN but still considered as risk factor

ConclusionThis investigation hypothesizes that excess body fat and diabetes may have a role in the development of AKN, an often-overlooked scalp condition. To confirm these findings, larger-scale research is needed.