1/101. Recurrent plantar keloid.Keloids of the plantar foot present a unique challenge to the surgical dermatologist. Many of the established regimens often fall short of their desired goals. Some of the obstacles to overcome include the repetitive nature of ambulation, the inability to primarily close the plantar foot, and the exquisite tendency for even fine suturing of skin grafts to form keloids. The use of excision, postoperative electron beam therapy, and secondary intention healing provides a useful approach in the management of plantar keloids.- - - - - - - - - - ranking = 1keywords = keloid (Clic here for more details about this article) |
2/101. Eruptive paraneoplastic keloids.We present a 66-year-old woman who developed eruptive keloids in association with endometrial carcinoma in the absence of trauma, surgery, inflammation, or other known preludes to keloid formation. keloid formation and endometrial carcinoma are both associated with similar cytokine abnormalities and as such, we hypothesize that this is a previously unreported paraneoplastic phenomenon.- - - - - - - - - - ranking = 1keywords = keloid (Clic here for more details about this article) |
3/101. Fraternal keloid.This report concerns the cases of three European caucasian brothers who developed keloid scars as teenagers. The eldest brother's keloid followed surgery, the second brother's followed ear piercing and the youngest brother's followed chicken pox scarring. No other member of any generation of their family is known to have suffered from the condition. Such a family as this, with an inherited tendency to form keloids, provides an interesting source of material for genetic research. An understanding of the genetics of keloids, particularly the isolation of a specific gene or group of genes could prove a major advance in the understanding and subsequently in the treatment of the condition.- - - - - - - - - - ranking = 1.3333333333333keywords = keloid (Clic here for more details about this article) |
4/101. Cushing's syndrome associated with the intradermal injection of triamcinolone diacetate.A case of long-term Cushing's syndrome after intradermal injection of 160 mg of triamcinolone diacetate has been presented. The evidence of whether this decrease occurred secondary to the intradermal injections of triamcinolone diacetate or to exogenous abuse is not clear. However, because of the extensive use of intradermal steroids in the treatment of keloids as well as other lesions, this case is significant, whatever the cause. Further study is being accomplished and the final results will be reported by the endocrinology service, Wilford Hall Medical Center, in a follow-up article.- - - - - - - - - - ranking = 0.16666666666667keywords = keloid (Clic here for more details about this article) |
5/101. Palmar fasciectomy and keloid formation.A 53-year-old Caucasian with keloid formation on the palmar surface of the hand following Dupuytren's contracture release is presented. Only two other cases of keloid formation on the hand have been found in English literature, both on black patients. This is the first known case with association of Dupuytren's disease to be reported. Surgical excision of the keloid with intraoperative injection of triamcinolone of the wound edges resulted in clinical cure.- - - - - - - - - - ranking = 1.1666666666667keywords = keloid (Clic here for more details about this article) |
6/101. The risks of treating keloids with radiotherapy.The risk of carcinogenesis from radiation exposure is well known. It has been questioned for some time therefore, whether it is wise to treat benign disease with radiotherapy. We report a case of a patient who developed bilateral breast carcinomas almost 30 years after treatment of chest wall keloids with radiotherapy. There are only anecdotal reports in the literature of malignancies following treatment of keloids with radiotherapy. We review these reports and discuss the safety of this approach to the management of keloid scars.- - - - - - - - - - ranking = 1.1666666666667keywords = keloid (Clic here for more details about this article) |
7/101. Treatment of extensive sternum keloid scar with surgical removal and immediate reconstruction with skin flaps from a combined mammaplasty.We report the case of a 47-year-old woman with a large keloid scar on the sternum who was submitted to a simultaneous scar removal with bilateral breast-reduction mammaplasty. breast reduction was performed to reduce local skin tension and to provide a skin flap for the full reconstruction of the scar-removal site. The association of these surgical procedures stands as a viable alternative for the reconstruction of the sternum region, producing less keloid scarring.- - - - - - - - - - ranking = 1keywords = keloid (Clic here for more details about this article) |
8/101. noonan syndrome: a case with recurrent keloid formation.We describe a 6-year-old boy who presented with erythema and horny, follicular papules on the lateral aspects of the eyebrows and extensor surfaces of the arms. The condition was diagnosed as ulerythema ophryogenes and keratosis pilaris atrophicans faciei. The patient had the characteristic features of noonan syndrome, including dysmorphic facial appearance, congenital heart disease, pectus excavatum, and cubitus valgus, accompanied by a tendency for keloid formation.- - - - - - - - - - ranking = 0.83333333333333keywords = keloid (Clic here for more details about this article) |
9/101. Clinical, surgical, and histopathologic characteristics of corneal keloid.PURPOSE: To describe the cause, diagnosis, and management of a case of bilateral corneal keloid. methods: We describe a 17-year-old white boy with enlarging nontraumatic bilateral corneal scars whose growth was exacerbated by a superficial keratectomy. The patient underwent a penetrating keratoplasty (PK) in his left eye. light and electron microscopy of the corneal button were performed. RESULTS: The histopathologic and ultrastructural features of the corneal button were haphazardly arranged collagen fascicles with activated fibroblasts but no inflammatory cells. The clinical outcome was excellent, although there has been continuous growth of the outer margin of the initial lesion not included in the PK. This growth has not affected vision. The unoperated right corneal lesion progressively enlarged during these years. CONCLUSION: A corneal keloid, although unusual, should be suspected in cases of enlarging white glistening avascular corneal scars regardless of a traumatic antecedent. light and electron microscopy confirmed the diagnosis. Management is by PK when the visual axis is involved and carries an excellent prognosis.- - - - - - - - - - ranking = 1keywords = keloid (Clic here for more details about this article) |
10/101. erythema elevatum diutinum mimicking extensive keloids; quiz 386.GOAL: To describe a case of erythema elevatum diutinum (EED) that clinically mimicked extensive keloids. OBJECTIVES: Upon completion of this activity, dermatologists and general practitioners should be able to: 1. Describe the clinical presentation and lesion appearance in EED. 2. Discuss the electron microscopic and laboratory findings of EED. 3. Outline treatment options for EED. CME: This article has been peer reviewed and approved by Michael Fisher, MD, Professor of medicine, Albert Einstein College of medicine. review date: April 2001. This activity has been planned and implemented in accordance with the Essentials and Standards of the accreditation Council for Continuing Medical education through the joint sponsorship of Albert Einstein College of medicine and Quadrant HealthCom, Inc. The Albert Einstein College of medicine is accredited by the ACCME to provide continuing medical education for physicians. Albert Einstein College of medicine designates this educational activity for a maximum of 1.0 hour in category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. This activity has been planned and produced in accordance with ACCME Essentials.- - - - - - - - - - ranking = 0.83333333333333keywords = keloid (Clic here for more details about this article) |
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