Medical Treatment for Scars & KeloidsPosted 15 January at I have two penny sized keloids on my shoulder that were corticosteroids injections for keloids painful, that I have just had injected with steroids. I was so worried about the procedure beforehand, having read some of the feedback on this site about how painful it is, however, I would like to reassure people that this need not be the case and shouldn't put anyone off treatment. I used EMLA cream two hours before the procedure which I covered with an occlusive dressing both available from my local pharmacy. I still felt the injections, but it was totally bearable - in fact the flu jab that I had inejctions few weeks before was probably worse! I tren marruecos espana suggested using the EMLA, rather than my doctor, so it seems that this is something you have to actually ask for. I'm really not sure why the doctors don't suggest corticosteroids injections for keloids themselves, because my doc did mention that the corticowteroids are normally painful!
Intralesional steroid injection | DermNet New Zealand
A keloid also called a keloid scar is an overgrowth of a scar, after the skin has been damaged. It is an abnormal type of wound healing, which results in a large, soft growth where the skin has been damaged. It is particularly common in people with dark skin.
Keloid is an overgrowth of the scar tissue that develops around a wound, usually after the wound has healed. It expands far beyond the original scar. Rather than stay in a straight line, for example, after a surgical incision, it spreads outwards.
This refers to the way the keloid grows sideways into the normal skin. Keloid scars are more common in people with darker skins, especially Afro-Caribbean races. The peak age is years and keloids are less common in the elderly or babies. Studies of African people have shown that out of a hundred develop keloids. Half of people with keloids will have other members of the family who have also developed keloids. Science hasn't yet managed to explain why some people go on to develop keloid scars after their skin is damaged, and others don't.
But we have a pretty good idea of how it happens. Keloid scars are an overgrowth of skin after a cut or injury. They can also occur after surgery, done by doctors - for example, after ear reduction surgery where there is a scar behind the ears or for removal of a suspicious skin growth.
Keloid typically starts to develop about three months after the original skin damage although it can take up to a year. The first thing you will probably notice is that rubbery scar tissue starts growing beyond the borders of the original damage. It may become tender, itchy, and painful or produce a burning sensation. Sometimes keloid develops without any apparent skin injury, although most people can identify a cause. Growth continues for a few weeks to a few months. The growth is usually slow but occasionally there is rapid enlargement over a few months.
Once they stop growing most keloid scars remain the same size or get smaller. Keloid growing over a joint can restrict movement. In time, the original red colour changes to brown or becomes pale. This image shows a keloid scar on a 4-year-old child's toes, that formed following surgery he had at the age of 2 years:. Many patients ask for their keloid scar to be 'cut out' surgically excised. This is hardly ever successful and in fact can result in an even bigger keloid scar coming back.
Keloids must never be cut out by a GP or by anyone who isn't medically qualified. They should only be treated by a specialist doctor such as a dermatologist or a plastic surgeon. Even then, most doctors will be very guarded in what they promise: This image shows a keloid around a Caribbean woman's ear that came back after surgery a and b , followed by repeat surgery c and then repeated steroid injections d:.
Once someone has had a keloid scar, it is vital they avoid piercings, tattoos and ideally any surgery unless essential. Steer clear too of unnecessary procedures such as cosmetic surgery, especially in those areas of the body where keloid is prone to develop. If you get acne, you should make sure it is treated effectively at an early stage so the spots do not scar.
If you are identified as being at risk of keloid and need an operation, your surgeon may offer you dressings, steroid injections or other treatments to reduce the risk of keloid developing. Did you find this information useful? Shamsi Meymandi S, Rezazadeh A, Ekhlasi A ; Studying intense pulsed light method along with corticosteroid injection in treating keloid scars.
Iran Red Crescent Med J. Epub Feb 5. Pathomechanisms, Current and Emerging Treatment Strategies. Epub Jan J Clin Aesthet Dermatol. Hi, My name is Cindy. Im 17 years old and i have a keloid scar on my left shoulder since i was a baby. I went to alot of skin doctors and hospitals to see if there is any way or any treatment to get This article is for information only and should not be used for the diagnosis or treatment of medical conditions.
Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.
In this article arrow-down What is keloid? Keloid In this article What is keloid? Who gets keloid scars? What causes a keloid scar to form? How do keloid scars develop? What do keloid scars feel like? What do keloid scars look like?
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