Skip to main content

Keloids

Sumrine S. Raja, MD, MSc Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Keloids are benign hyperproliferative skin growths histologically characterized by overabundant deposition of extracellular matrix components, especially dermal collagen bundles, gly...

DIAGNOSIS

HISTORY

  • Pain

  • Tenderness

  • Redness

  • Itching and burning

  • Persist without resolution

  • May be asymptomatic

PHYSICAL EXAM

  • Firm, smooth, elevated nodule with sharply demarcated borders

  • Initially, may be pale o...

TREATMENT

  • There are no uniform treatment protocols (1).

  • Treatment options should also be based on the characteristics of the keloid: (i) presence or absence of scar contractures, (ii) size, and (iii) t...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Monthly visits for up to 1 year for evaluation and possible repeat steroid injections 

PATIENT EDUCATION

  • Stress the possibility of recurrence desp...

REFERENCES

1
Wang XQ, Liu YK, Qing C, et al. A review of the effectiveness of antimitotic drug injections for hypertrophic scars and keloids. Ann Plast Surg.  2009;63(6):688–692. [View Abstract on...

ADDITIONAL READING

  • Bijlard E, Steltenpool S, Niessen FB. Intralesional 5-fluorouracil in keloid treatment: a systematic review. Acta Derm Venereol.  2015;95(7):778–782.

  • Davison SP, Dayan JH, Cleme...

CODES

ICD10

  • L91.0 Hypertrophic scar

  • L73.0 Acne keloid

ICD9

701.4 Keloid scar 

SNOMED

  • 33659008 Keloid scar (disorder)

  • 238746008 Acne keloid (disorder)

  • 403686005 Keloidal surgical scar (disorder)

CLINICAL PEARLS

  • 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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×