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Keloids

Background

Keloids are a common skin condition in darker-skinned individuals, characterized by raised, thickened, and often darkly pigmented scars that extend beyond the original injury site. They can occur after trauma, surgery, or even minor skin irritation, and are more prevalent in individuals with a genetic predisposition to overproduce collagen during the healing process. Treatment options include corticosteroid injections, silicone gel sheets, cryotherapy, laser therapy, and in some cases, surgical removal, though keloids may recur even after treatment.

Lesion image

Keloids: Definition and Historical Background, Epidemiology, Race (medscape.com)  

Keloid evolution after seven years (A and B). Keloids continue to evolve over time, without a quiescent or regressive phase, and infiltrate the surrounding tissue

https://www.scielo.br/j/clin/a/SSSxMMG5qBmVGcMwFPPRWDM/?lang=en#ModalFigf02 

References
  • Author: David Jansen M, FACS, Chief Editor: Joseph A Molnar, MD, PhD, FACS. Keloids. 2021; Available at: https://emedicine.medscape.com/article/1298013-overview?&icd=login_success_email_match_fpf. Accessed -02-19, 2024
  • Ekstein SF, Wyles SP, Moran SL, Meves A. Keloids: a review of therapeutic management. International journal of dermatology. 2021 Jun;60(6):661-71.
  • Betarbet U, Blalock TW. Keloids: a review of etiology, prevention, and treatment. The Journal of clinical and aesthetic dermatology. 2020 Feb;13(2):33.
  • Berman B, Maderal A, Raphael B. Keloids and hypertrophic scars: pathophysiology, classification, and treatment. Dermatologic Surgery. 2017 Jan 1;43:S3-18.