KELOID

• Keloid is a proliferation of immature fibroblasts with immature blood vessels.

•Keloid is very common in blacks and least common in Caucasians

• Keloid is not a true tumour but has a marked tendency for local recurrence after excision.

• Keloid takes the shape of a butterfly over the sternum. It is the commonest site for a keloid. It is extremely difficult to treat the keloid over the sternum.

TYPES OF SCAR • Atrophic • Hypertrophic • Keloid

AETIOLOGY OF KELOID

• Key factors: Surgery, burns, vaccinations

• Elevated levels of growth factor (more of type 'B' collagen)

• Laceration or abrasion

• Over the sternum (incision)

• Inheritance and injection

• Deep pigmented skin

Remember as KELOID

General features

• It continues to get worse even after I year and up to a few years.

• Severe itching is present

• Margin is tender

• Vascular, red, erythematous (immature blood vessels)

• Extends to normal tissues, has claw-like process. Hence the name.

Precipitating factors

• Black race

• Tuberculosis patients

• Incision over the sternum, ear lobe

• Equal in both sexes

• Hereditary and familial

• Vaccination sites, injection sites, incision sites, piercing sites

Natural history

• Does not become small

Complications

• Ulceration, infection

KELOID SITES ......

High chances - Skin of ear lobe, Presternal, Deltoid, Upper back

Least chances – Eyelid, Genitalia, Palm, sole, Across joint

Management

• Silicone application

PEARLS OF WISDOM

*Any form of excision has high chance of recurrence

*Collagen bundles are virtually absent in keloid. It is extremely difficult to treat a keloid.

 

 

 

 

 

TREATMENT AT DR. SOHAN LAL CLINIC

The integrated POLYCLINIC facility offers patients to select their treatment either from the Department of Homeopathy or from the Department of Medicine.

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