Cases reported "Keloid"

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21/34. keloid scar of the face.

    Although all the consultants agreed that this patient deserved to be treated, they disagreed as to the method. Dr. Wise suggested excision of the scar with postoperative irradiation. Dr. Thomas would excise the scar, inject the lesion with steroids intraoperatively and postoperatively, and apply a pressure dressing. Dr. Cook would not operate at all and favored intralesional injection of steroids. When used, Kenalog was the steroid preparation of choice. Dr. Wise would not use steroids in this situation because of the possible complications of skin atrophy, change in pigmentation, and telangiectasias. Dr. Thomas would avoid low-dose irradiation for fear of inducing a head and neck malignancy. Dr. Cook would avoid all surgical intervention, believing that it would only compound the present problem. All consultants agreed that the patient deserved close follow-up, and that he was at risk for similar scar formation in the future. They also pointed out the genetic predisposition for his offspring to have similar problems.
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ranking = 1
keywords = formation
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22/34. Delayed wound healing and keloid formation following argon laser treatment or dermabrasion during isotretinoin treatment.

    We report the observation of delayed wound healing and keloid formation in three patients, following dermabrasion or argon laser treatment administered while they were receiving isotretinoin for acne or rosacea.
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ranking = 5
keywords = formation
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23/34. Atypical keloids after dermabrasion of patients taking isotretinoin.

    Six patients underwent dermabrasion while on or having recently completed isotretinoin (Accutane) therapy. All patients developed keloids in atypical locations; the keloids eventually responded to topical or intralesional steroid therapy. retinoids have a modulatory effect on connective tissue metabolism, including suppression of collagenase, which may enhance keloid formation. dermabrasion should be delayed in those patients taking or recently on isotretinoin therapy.
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ranking = 1
keywords = formation
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24/34. Suppurative keloidosis in a black woman.

    The development of suppuration and sinus tract formation within previously well developed keloidal scars is a rare event, predominantly occurring in the beard, neck, and presternal areas of black men. Keloidal entrapment of epithelial cystic elements, such as pilosebaceous units, has been suggested as one possible mechanism for the occurrence of suppurative keloids. We report the extremely rare development of a large, submental, submaxillary suppurative keloid in a black woman, with resulting sinus tract formation and intraoral drainage. The important clinical characteristics and treatment of suppurative keloidosis are discussed. The gross pathologic picture of keloidal epithelial-cystic entrapment and inflammation is also demonstrated.
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ranking = 2
keywords = formation
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25/34. Nodular (keloidal) scleroderma.

    Two patients with progressive systemic sclerosis (PSS) developed keloidal-like nodules within areas of thickened skin. This extremely unusual event is most likely a keloidal response to the early inflammatory component of scleroderma in patients who are either genetically at risk for keloid formation or in areas of the skin that have a high predilection for keloid formation such as the chest.
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ranking = 2
keywords = formation
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26/34. Intraoral keloid: complication of forehead flap.

    Intraoral keloids are rare de novo, but can occur on transplanted skin. A case in which an unusual complication of forehead flap reconstruction resulted in the formation of a large keloid in the oral cavity is presented. Therapy is discussed.
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ranking = 1
keywords = formation
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27/34. keloid formation after surgery for release of polysyndactyly of the feet in a child.

    keloid formation on the hands and the feet is very rare but should always be anticipated as a possible complication after surgery. Failure to recognise the potential for keloid may result in a severe deformity that is functionally and cosmetically undesirable. We report severe keloid formation after simple release of polysyndactyly of the feet of a 2-year-old child.
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ranking = 6
keywords = formation
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28/34. keloid formation from levonorgestrel implant (Norplant System) insertion.

    It is possible that women of certain ethnic backgrounds, specifically those more prone to keloid formation, are also more prone to the insertion site complications of levonorgesterel implants. Failure to recognize the potential for this complication and to provide adequate guidance to the patient could result in unwarranted cost and complications. It is possible that intralesional steroid injection at the first sign of a local reaction will minimize the formation of a keloid; however, specific research will need to be done before a change in practice can be recommended.
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ranking = 6
keywords = formation
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29/34. Syndactylism with keloid scar formation.

    A 19-year-old Arab woman who was previously operated on to desyndactylize her right second and third digits is presented in this case report. The patient's toes resyndactylized postoperatively and a keloid scar developed on the dorsum of her incision site. Syndactylism of digits is often discussed when involving the hand. However, it is much less frequently presented when it involves the foot, because surgical intervention is seldom necessary unless foot function is affected. keloid scars are commonly encountered and pose a challenge to the podiatric physician because of their recalcitrant and recurrent tendency. This paper, detailing complete podiatric surgical treatment, is presented with a review of literature aiming to consolidate the presently known facts about syndactylism and keloids, and their treatment in the foot.
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ranking = 4
keywords = formation
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30/34. Exuberant keloidal formation.

    Keloids are disfiguring deformities that occur after trauma or wounding of the skin, most commonly among blacks. The case presented here is unusual because of the number of keloids and the massive size of one. The patient underwent full surgical excision together with intraoperative and postoperative steroid injections with good cosmetic results. Various causes of keloids are reviewed as are the histopathologic differences between hypertrophic scars and keloids. Alternative surgical and nonsurgical treatment techniques are examined.
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ranking = 4
keywords = formation
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