Keloid

Keloid


Definition

A keloid is defined as excessive scar tissue that extends beyond the boundaries of  original incision or wound. 

Causes of keloid

  1. Increased level of growth factors
  2. Deeply pigmented skin
  3. Hereditary
  4. Certain areas of body-triangle found by xiphisternum and two shoulder tips. 

Histopathology

Excessive collagen with hypervascularity

Treatment

  • Pressure with help of local moulds or elasticated garments
  • Silicone gel sheeting
  • Intralesional steroid injection of triamcinolone
  • Excision and steroid injection
  • Excision and post op radiation
  • Intralesional excision
  • Laser
  • Vitamin E
  • Palm oil massage

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