John’s story with acne keloidalis nuchae begins around puberty, when bumps started appearing at the back of his head. What initially drew attention during a haircut eventually became years of repeated attempts to find an answer, until Dr. Sanusi Umar recognized the pattern and gave John a name for what he had been living with.
A Barber Was the First to Point Out the Bumps
John’s family recalls that he was about 13 when acne began appearing during puberty, including at the back of his head. John says the first person who actually brought the area to his attention was a barber during a haircut. “They kind of mentioned the bumps and stuff, and then that’s when I started paying attention to it.”
That detail gives context to searches such as back-of-head bumps from haircut or bumps after haircut. In John’s case, the haircut did not establish the cause. It was simply the setting where someone first noticed and mentioned what was already developing.

Years of Trying, Then Another Setback
The chapter then moves through the frustration of repeatedly seeking care. John describes a cycle of visiting a dermatologist, trying a medication, becoming frustrated when the problem continued, waiting, and then trying another doctor after someone offered a new recommendation. “Every time you try, it’s like a setback,” he says.
The approved caption describes John’s case as involving chronic folliculitis of the nape, a purulent folliculitis disorder, and Paquidermia Verticis Gyrata, also called bulldog scalp. The chapter itself stays focused on recognition rather than revealing later treatment results.
Dr. Umar Recognizes What John Has Been Living With
Eventually, John found Dr. Sanusi Umar. According to the chapter, Dr. Umar immediately recognized the condition. John’s family remembers how different he seemed after that visit: “He came home so happy that day that he met with Dr. U.”
For John, the breakthrough was not only meeting another physician. It was finally hearing that what he had been experiencing could be identified. “There’s a name for it, and there’s something I could do,” he said. That moment captures the purpose of this Bumpinator chapter: recognition can change the way a patient understands a problem that has followed him for years.

Recognition Comes Before the Next Step
John’s short chapter stops at an important turning point. The early bumps, the barber’s observation, and years of frustrating attempts to find help lead to a consultation where the condition is finally recognized. The later course of treatment is not revealed here. For now, the focus is on what changed when John could finally put a name to what he had been experiencing.
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Medical Disclaimer
This article presents an individual patient experience for educational purposes only. It does not provide a diagnosis, guarantee a result, or replace evaluation and treatment by a qualified healthcare professional. Individual conditions, treatment plans, progression, and outcomes vary.
Further Reading
- https://dru.com/early-treatment-scalp-bumps/
- Umar, S., & Sila, C. R. (2021). Acne keloidalis nuchae: A role for low-dose radiotherapy. JAAD Case Reports, 13, 90–93. https://doi.org/10.1016/j.jdcr.2021.05.008



