Histologically, keloids are fibrotic tumors characterized by a collection of atypical fibroblasts with excessive deposition of extracellular matrixcomponents, especially collagen, fibronectin, elastin, and proteoglycans. Generally, they contain relatively acellular centers and thick, abundant collagen bundles that form nodules in the deep dermal portion of the lesion. Keloids present a therapeutic challenge that must be addressed, as these lesions can cause significant pain, pruritus (itching), and physical disfigurement. (from wikipedia)

Image from earthwidesurgicalfoundation (link to blogspot).   Image from Dr. Brian Camazine

“…After excision of the keloid we injected depo-medrol and will continue this monthly to try to prevent a recurrence. The result isn’t perfect but the patient and mother are very happy.” –  Dr. Brian Camazine.

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