Keloids are benign hyperproliferative skin growths that extend beyond boundaries of the original wound. They are histologically characterized by overabundant deposition of extracellu...
Firm, rubbery nodules located at area of previous skin trauma. Described as:
Painful
Tender
Red
Pruritic
Persist without resolution
Distressing for patients ...
There are no uniform treatment protocols.
Treatment options should also be based on the characteristics of the keloid: (i) presence or absence of scar contractures, (ii) size, and (iii) the n...
Stress the possibility of recurrence desp...
Bijlard E, Steltenpool S, Niessen FB. Intralesional 5-fluorouracil in keloid treatment: a systematic review. Acta Derm Venereol. 2015;95(7):778–7...
L91.0 Hypertrophic scar
L73.0 Acne keloid
33659008 Keloid scar (disorder)
238746008 Acne keloid (disorder)
403686005 Keloidal surgical scar (disorder)
Keloids are nodules composed of collagen and overabundant fibroblasts.
Although the etiology of keloids is still undetermined, genetic, hormonal, and immunologic factors have all been i...
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A keloid, an abnormal nodular mass formed at the site of skin injury, is a result of excessive collagen synthesis. A scar is a mass of collagen that is the end result of repair by fibrosis.
A keloid, an abnormal nodular mass formed at the site of skin injury, is a result of excessive collagen synthesis. A scar is a mass of col...
FIG. 20.1. A: Second-degree umbilical burn due to silver nitrate. B: Second-degree burn of the leg from contact with an iron. C: The buttocks of this infant show a second-degree burn as a result of being intentionally immersed in scalding water.
FIG. 20.1. A: Second-degree umbilical burn due to silver nitrate. B: Second-degree burn of the leg from contact with an iron. C: The butto...
FIG. 20.2. Second-degree sunburn.
FIG. 20.4. Deep partial-thickness burns.
FIG. 20.5. Full-thickness burns.
FIG. 20.8. This circumferential burn carries a high risk of leading to complications and disability.
FIG. 20.12. Electrical hand burn.
FIG. 22.40. A: This 12-year-old girl had been bitten by her dog and later hospitalized for cellulitis that improved on intravenous antimicrobials. B: When the infection recurred, a radiograph was obtained that showed a fracture from the initial dog bite. The patient was treated for osteomyelitis, and the infection resolved.
FIG. 22.40. A: This 12-year-old girl had been bitten by her dog and later hospitalized for cellulitis that improved on intravenous antimic...
(A, top) Lepromatous leprosy. There is diffuse involvement, including a leonine face, loss of eyebrows and eyelashes, and nodular distortions, especially on the face, ears, forearms, and hands - the exposed (cool) parts of the body. (A, bottom) The nodular skin lesions of advanced lepromatous leprosy. Swelling has flattened the epidermis (loss of Rete ridges). A characteristic "clear zone" of uninvolved dermis separates the epidermis from tumor-like accumulations of macrophages, each contai...
(A, top) Lepromatous leprosy. There is diffuse involvement, including a leonine face, loss of eyebrows and eyelashes, and nodular distorti...
Verruca Vulgaris Dry, rough warts on hands
Figure 158.11. Moderately advanced lepromatous (LL) leprosy. There is symmetric infiltration of the face with particular involvement of the eyebrows, nose, and cheek creases. Eyebrow loss (madarosis is also present).
Figure 158.11. Moderately advanced lepromatous (LL) leprosy. There is symmetric infiltration of the face with particular involvement of th...
Keloids: shoulder, due to acne
lepromatous leprosy
Facial deformities in a Korean leprosy patient. Madarosis, bilateral lagophthalmos with lateral tarsorrhaphies, total corneal opacity from exposure, nasal destruction.
Facial deformities in a Korean leprosy patient. Madarosis, bilateral lagophthalmos with lateral tarsorrhaphies, total corneal opacity from...
Hands of patient in Fig. 44.1, which show deformities.
Burn: partial thickness, forearm
Keloids. These lesions are growing well beyond the border of the cesarean section scar. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Keloids. These lesions are growing well beyond the border of the cesarean section scar. From Goodheart HP. Goodheart's Photoguide to Common...
FIG. 26.3. Immersion burns. A: Hot water burn in an immersion pattern. B: Hot liquid spill burns sustained by a 6-month-old child.