Acne Necrotica Millaris: Causes, Conditions and Treatments

What happens with Acne Necrotica Millaris ?

In Acne Necrotica Millaris, hair follicles become inflamed and infected, developing pustules or papules. These lesions often appear on the scalp and, when they rupture, can lead to crusting and scarring. Over time, this can result in small areas of hair loss and permanent scarring on the scalp.

What are the symptoms of Acne Necrotica Millaris ?  

• Pustules or Papules: Small, raised bumps on the scalp that may be filled with pus.
• Itching: The scalp may feel intensely itchy, leading to scratching and further irritation.
• Crusting: After the pustules rupture, they often form crusts.
• Scarring: Healing lesions can leave scars, sometimes associated with hair loss.
• Localised Hair Loss: Small patches of hair loss may occur in areas where lesions have healed.

Key facts about Acne Necrotica Millaris ?

• Chronic Condition: This is a long-lasting condition that can recur frequently.
• Scarring: Scarring is an expected outcome, which can lead to permanent hair loss in affected areas.
• Inflammatory: The condition is primarily inflammatory, affecting hair follicles.
• More Common in Adults: While it can occur in anyone, it is more prevalent in adults, particularly men.

What triggers Acne Necrotica Millaris ?

• Bacterial Infection: Bacterial overgrowth, particularly Staphylococcus aureus, can trigger the condition.
• Poor Hygiene: Infrequent washing of the scalp can contribute to follicle blockage and infection.
• Stress: Stress can exacerbate symptoms by weakening the immune system.
• Tight Headwear: Wearing tight hats or headgear can irritate the scalp and exacerbate the condition.
• Underlying Skin Conditions: Those with conditions like seborrhoeic dermatitis may be more prone to developing Acne Necrotica Millaris.

Can Acne Necrotica Millaris be cured?

Acne Necrotica Millaris cannot be completely cured, but it can be managed effectively with the right treatment. Antibacterial and anti-inflammatory treatments, including topical or oral antibiotics, medicated shampoos, and steroid creams, can help control symptoms and prevent further scalp damage. Early treatment is crucial to avoid scarring and permanent hair loss.