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Keloid, also known as keloid disorder and keloidal scar, is the formation of a type of scar which, depending on its maturity, is composed mainly of either type III (early) or type I (late) collagen.It is a result of an overgrowth of granulation tissue (collagen type III) at the site of a healed skin injury which is then slowly replaced by collagen type I. Keloids are firm, rubbery lesions or.
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Chua SC, Gidaszewski B, Khajehei M. Efficacy of surgical excision and sub-dermal injection of triamcinolone acetonide for treatment of keloid scars after caesarean section: a single blind randomised controlled trial protocol. Trials. 2019; 20 (1):363. doi: 10.1186/s13063-019-3465-6. [PMC free article] [Google Scholar]
What Are Keloid Scars?
Some keloid scars can be treated with a low-dose radiation therapy known as superficial external beam therapy. This beam uses highly directed X-rays on the scar. It only penetrates the topmost.
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Causes pain, itch, or burning. While a keloid is growing, it may feel tender or painful. It may itch or cause a burning sensation. Symptoms tend to end when the keloid stops growing, but not always. This man developed keloids on his face after chickenpox cleared. Decades later, the keloids still itch and feel painful.
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Keloids are pathologic scars that pose a significant functional and cosmetic burden. They are challenging to treat, despite the multitude of treatment modalities currently available. The aim of this study was to conduct an evidence-based review of all prospective data regarding keloid treatments published between 2010 and 2020. A systematic literature search of PubMed (National Library of.
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Freezing the scar. Called cryotherapy, this can be used to reduce the hardness and size of the scar. It works best on small keloids. Wearing silicone sheets or gel over the scar. This can help flatten the keloid. Laser therapy. This can help flatten the keloid. It also can fade the color.
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Prevention and Treatment for Keloids
Dos. Crush aspirin tablets to make a paste and apply it to a scar. Apply honey to the affected area. Try topical garlic or onion extract. Talk to a healthcare provider about medical treatment options. Don'ts. Do not use hydrogen peroxide or other products that could dry out a wound.
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Keloids are notoriously and particularly difficult to treat because of their tendency to recur after excision. The current standard of care is intralesional steroid (triamcinolone acetonide).. Bae-Harboe Y-SC, Harboe-Schmidt JE, Graber E, Gilchrest BA. Collagenase followed by compression for the treatment of earlobe keloids. Dermatol Surg.
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A keloid scar may form within months to years of the inciting injury. Signs and symptoms might include: Thick, irregular scarring, typically on the earlobes, shoulders, cheeks or middle chest. Shiny, hairless, lumpy, raised skin. Varied size, depending on the size of the original injury and when the keloid stops growing.
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Prevention. Treatment. Keloid scars are defined as abnormal scars that are hard, smooth, and grow beyond the boundary of the original skin injury. The scar is a raised and ill-defined growth in the area of damaged skin, and it can cause pain, itching, and burning. This article covers why keloid scars form and who is more likely to develop them.
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Kelly AP, Bayat A. "Keloids" In: Kelly AP, Taylor SC, et al. Dermatology for Skin of Color. The McGraw Hill Companies, United States of America, 2016.208-222. London, S. "Management of keloids draws on clinical wisdom." Dermatology News (Digital Network). 2013 Nov 1, 2013. Last accessed September 30, 2016. Mankowski P, Kanevsky J, et al.
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"Top 10 things you need to know about keloids and their treatment." J Miss State Med Assoc. 2016;57(4):108-11. Kelly AP, Bayat A. "Keloids" In: Kelly AP, Taylor SC, et al. Dermatology for Skin of Color. The McGraw Hill Companies, United States of America, 2016.208-222. Meaume S, Le Pillouer-Prost A, et al. "Management of scars.
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The symptoms of a keloid can include: a localized area that is flesh-colored, pink, or red. a lumpy or ridged area of skin that's usually raised. an area that continues to grow larger with scar.
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If you have keloid-prone skin (not everyone does), this scar may form after a: Body piercing (especially ear piercing) Bout with acne or chickenpox (usually developing on the face, chest, or back) Burn. Cut, scrape, or bug bite. Deep wound like a puncture wound. Skin disease that causes inflammation like folliculitis. Tattoo.
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Keloid disease is a fibroproliferative dermal tumor with an unknown etiology that occurs after a skin injury in genetically susceptible individuals. Increased familial aggregation, a higher prevalence in certain races, parallelism in identical twins, and alteration in gene expression all favor a remarkable genetic contribution to keloid pathology.
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Wound care. For newer keloids, the first treatment option might be compression dressings made from stretchy fabric or other materials. This method is also used after surgery to remove keloids. The goal is to reduce or prevent a scar by putting pressure on the wound as it heals. Such dressings need to be worn for 12 to 24 hours a day for 4 to 6.