Keloid

Keloid is hypertrophic scar extending beyond original wound margins (chest/shoulder/jaw/earlobes), overproducing collagen, in darker skin types, familial tendency. Treatment: intralesional corticosteroids (triamcinolone) + 5-FU; silicone gel sheets; pressure therapy (earlobe); cryotherapy; laser (pulsed-dye for erythema); surgical excision + adjuvant (radiation/intralesional steroids/5-FU) to prevent recurrence; avoid trauma/piercing; follow-up dermatology/plastic surgery; monitor recurrence; psychosocial support.

Common Symptoms

Hypertrophic scar beyond wound margins; chest/shoulder/jaw/earlobes; pruritic/tender

Causes and Pathogenesis

Excessive collagen deposition after trauma/inflammation forms keloid beyond margins.

Treatment

Intralesional steroids/5-FU; silicone/pressure; cryotherapy/laser; surgery + adjuvant

Preventive Measures

Avoid trauma/piercing; early treatment of wounds; silicone gel on high-risk scars.

Department to Visit

It is recommended to visit the Dermatology/Plastic-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.