A Clinical Atlas of 101 Common Skin Diseases

Scars, Keloids, and Anetodermas

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A type of fibrosing inflammation characterized clinically by lesions that at first are elevated and that do not extend beyond the exact site of injury and that in time tend to shrink, sometimes even becoming atrophic.

A Clinical Atlas of 101 Common Skin Diseases

Keloids

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A fibrosing inflammatory process characterized by papular, plaque-like, nodular, and tumorous lesions that extend well beyond the exact site of injury and that in time tend to shrink somewhat, but never greatly.

A Clinical Atlas of 101 Common Skin Diseases

Scars, Keloids, and Anetodermas

A type of fibrosing inflammation characterized clinically by lesions that at first are elevated and that do not extend beyond the exact site of injury and that in time tend to shrink, sometimes even becoming atrophic….

A Clinical Atlas of 101 Common Skin Diseases

Keloids

A fibrosing inflammatory process characterized by papular, plaque-like, nodular, and tumorous lesions that extend well beyond the exact site of injury and that in time tend to shrink somewhat, but never greatly….

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars

A fibrosing inflammatory process characterized by papular, plaque-like, nodular, and tumorous lesions that extend well beyond the exact site of injury and that in time tend to shrink somewhat, but never greatly….

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Treatment

…tralesional corticosteroids remain the first-line therapy for keloids and hypertrophic scars. They may be effective in 50-100% of cases but may be associated with recurrence in up to half of cases. Treatment of keloids with intralesional corticostero…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Key Points

…te and are transiently indurated or symptomatic. In contrast, keloids are defined as scars that grow beyond the boundaries of the original wound site and are often marked by significant, persistent thickening and are pruritic or painful. There is lim…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Initial Evaluation

Initial Evaluation Hypertrophic scars Keloids Differential diagnosis Morphea Lichen sclerosus et atrophicus (note genital and extragenital locations) Dermatofibrosarcoma protuberans…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Clinical Cases

…linear plaques noted across the jawline and chest Diagnosis: keloids (secondary to acne) Recommend intralesional triamcinolone (20 mg/cc) injections Follow-up in 4 weeks Four-week follow-up evaluation Improved (lesions much smaller in size, flatte…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: References

References Chike-Obi CJ, Cole PD, Brissett AE (2009) Keloids: pathogenesis, clinical features, and management, Semin Plast Surg, 23:178-184. Shin TM, Bordeaux JS (2012) The role of massage in scar management: a literature review, Derm Surgery, 38:41…

Therapeutic Strategies in Dermatology

Erythema Elevatum Diutinum: Initial Evaluation

Initial Evaluation Differential diagnosis Granuloma faciale Kaposi sarcoma Granuloma annulare Sweet’s syndrome Keloids Dermatofibrosarcoma protuberans…

Therapeutic Strategies in Dermatology

Acne Keloidalis Nuchae: Key Points

…t studies. Patients may or may not form hypertrophic scars or keloids at other sites. The strategy of therapy is to treat active folliculitis, if present, and to reduce hypertrophic hair fragment induced scars. This can be done utilizing medical ther…