Keloids Flashcards
What are Keloids?
Keloids are fibrous tumors caused by the overgrowth of connective tissue, typically occurring in a scar weeks to months after the skin is traumatized. They extend beyond the boundary of the original injury, forming a hard, irregular, shiny, sometimes painful or itchy ridge or plaque.
What are primary Keloids?
Primary Keloids are keloids that form without any apparent preceding trauma
How do Keloids typically progress?
Once formed, Keloids remain stationary for years, after which some may become partially flattened. They are especially common in Africans.
What are the challenges in treating Keloids?
Treatment of Keloids is difficult, especially in older lesions. Surgical excision often leads to recurrence and more severe deformity.
What are some management options for Keloids?
Management includes strong topical corticosteroids under occlusion, intralesional corticosteroids with or without cryotherapy, and radiotherapy in some cases. Pressure garments may be used to prevent and treat Keloids, especially after extensive trauma like burns.
