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Keloid

  • Keloid

Definition

A keloid is a patch of excessive scar tissue that may form following a skin injury.

What is going on in the body?

Keloids generally form after a skin injury heals. For unknown reasons, some people produce an excess of dense, fibrous tissue at and around the site of injury. A keloid is abnormal because the scar extends above and beyond the site of the original injury, whereas normal scars remain confined to the site of injury.

Symptoms

What are the signs and symptoms of the condition?

Keloids are thick, smooth areas of pink scar tissue. The scar tissue is raised above the level of the surrounding skin. Some keloids are itchy or tender. Keloids can occur on any skin area. The most common locations for keloids vary according to race. In Caucasians, for example, keloids are most common on the face and arms, while those with darkly pigmented skin more often develop keloids on the face and legs.

Risks

What are the causes and risks of the condition?

The exact cause of keloids is unknown. However, they run in families and are associated with certain abnormal genes.

The exact cause of keloids is unknown. They do run in families, however, and are associated with certain abnormal genes. Other risk factors for keloids include the following: age between 10 and 30Polynesian, Chinese, and black African ethnic backgroundstype A blood

Keloids are associated with skin healing after an injury. Some events associated with keloid formation include the following: accidental injuriespiercing of body parts, such as the earlobes and abdomensurgery

Prevention

What can be done to prevent the condition?

Persons who tend to develop keloids should avoid cosmetic procedures to their skin. If surgery is necessary, an injection of cortisone can be made into the skin first. This may lower the risk of developing a keloid.

Diagnosed

How is the condition diagnosed?

Keloids are diagnosed by their appearance.

Long Term Effects

What are the long-term effects of the condition?

Keloids may be cosmetically embarrassing. However, they cause no long-term health problems.

Other Risks

What are the risks to others?

Keloids are not contagious and pose no risk to others.

Treatments

What are the treatments for the condition?

Treatment of keloids can include: compression of the earlobe between two buttons after the keloid is removed surgicallycorticosteroids injected directly into the keloidcryosurgery, which involves freezing the keloid with liquid nitrogeninterferon medicines, which interfere with formation of excess skinlaser surgery to cut out the keloidradiation therapy to remove the keloidsilicone gel dressingssurgical removal of the keloid

Side Effects

What are the side effects of the treatments?

Surgery may be complicated by bleeding, infection, or an allergic reaction to the anesthetic. Not uncommonly, surgical removal of a keloid may cause an even larger keloid to form.

After Treatment

What happens after treatment for the condition?

Keloids may continue growing for many years. Keloids do not disappear or become normal in size. Over time, however, they usually flatten and become less pink and obvious.

Monitor

How is the condition monitored?

Any new or worsening symptoms should be reported to the healthcare professional.