want to get rid of a nuisance

Back in 1994 I got a hair cut that caused some bumps to form on the back of my head.  I have had to put up with them ever since.  They dry up when I clean them, but they always puss up and turn red; especially when I use hair grease.  I have been to doctors, who have given me antibacterial cream, but they haven't worked.  I googled a site that has a thread from someone with the same problem who actually got cured.  Their doctor prescribed clindamycin for oral and topical usage because the problem had to be resolved internal and external.  Why didn't my doctors think of this?  I found a site that will sell both pills and cream.  I can't decide whether to purchase 150mg or 300mg.  I am tired of paying for failed doctor appointments and prescriptions.  Can you tell me what would be the safest dosage to purchase?

[Bhupinder Kaur, MD]

Hello,
The symptoms are suggestive of acne keloidalis nuchae. It occurs when hairs on the back of the head and neck grow into the skin, become inflamed, and cause scar tissue. These ingrown hairs usually occur following a short haircut on the back of the head and nape of the neck.

Treatment of AKN includes suppression of the inflammation with antibiotics and steroid gels or intralesional steroid injections. So apply antibiotic cream like Neosporin or bactroban.If the symptoms persist then oral antibiotics and steroids may be needed. Please consult a dermatologist in that case.

Larger bumps of AKN present for a while or if not responding to treatments may need surgical removal.

I hope it helps. Take care and regards.