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Pseudofolliculitis barbae (PFB) and acne keloidalis nuchae (AKN) are chronic inflammatory conditions affecting hair follicles common in men of color who are genetically inclined to have tightly curled hair. 1 The incidence of PFB and AKN among African American men may be as high as 83.0% and 13.6%, respectively. 2,3 The barbershop represents a distinctly important institution in the African American community and constitutes a culturally appropriate venue for barbers to provide men with health information. 4 The knowledge and expertise afforded by barbers regarding dermatologic evaluation and intervention of common scalp and hair problems in this population has not been evaluated. The aim of this cross-sectional study was to assess barber perceptions and recommendations regarding PFB and AKN in predominantly African American barbershops.

We report and discuss a series of 47 consecutive patients with donovanosis that were diagnosed in a public health laboratory in Western Australia during slightly more than six years. Most came from the tropical northern parts of Western Australia, there was a preponderance of women in the series, and vulval lesions were the most common manifestation of the disease. Two men had extragenital lesions, though each was eventually found to have concomitant genital lesions.

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