· Keloid is common in blacks.
·
Common in females.
·
Genetically predisposed.
·
Often familial. Very rare in Caucasians.
·
There is a defect in maturation and
stabilization of collagen fibrils.
·
Normal collagen bundles are absent.
·
Keloid continues to grow even after 6 months,
maybe for many years. It extends into adjacent normal skin.
·
It is brownish-black/pinkish black(due to
vascularity) in color, painful, tender and sometimes hyperaesthetic; spreads
and causing itching.
·
Keloid may sometimes be associated with
Ehlers-Danlos syndrome or scleroderma.
·
When keloid occurs following an unnoticed trauma
without scar formation it is called a spontaneous keloid, commonly seen in negros.
·
Some keloids occasionally become nonprogressive
after initial growth.
·
Pathologically, the keloid is made up of
proliferating immature fibroblasts, proliferating immature blood vessels and
type III thick collagen stroma.
Common over sternum.
Other sites are the upper arm, chest wall, lower neck front
Differential diagnosis: Hypertrophic scar
Treatment: Controversial
·
Steroid
injection: Intrakeloidal triamcinolone(stops the fibroblast proliferation and
the collagen synthesis)- at regular intervals, once in 7-10 days;6-8 injections.
·
Steroid
injections-excision-steroid injection.
·
Methotrexate
and vitamin A therapy into the keloid
·
Silicone
gel sheeting; topical retinoids.
·
Laser
therapy
·
Vitamin
E/Palm oil massage.
·
Intralesional
excision retaining the scar margin may prevent recurrence and is ideal and
better than just excision.
·
Irradiation
with or without excision
·
Excision
and skin grafting may be done
A keloid scar is an enlarged, raised scar that may be pink, pink, pores and skin-coloured or darker than the encompassing skin.Keloid Treatment In Dubai They can increase after very minor skin damage, which includes an zits spot or a piercing, and unfold past the authentic vicinity of pores and skin damage.
ReplyDeletePost a Comment