Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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