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Suggest Treatment For Keloid

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Posted on Mon, 3 Nov 2014
Question: I had a road accident last year because of which i had to get stitches on my arm. Attached is the picture of the scar. Please let me know if the scar can be removed and also let me know the procedure
doctor
Answered by Dr. Dr. Kakkar (23 minutes later)
Brief Answer:
Seems like a keloid; Intralesional Steroids

Detailed Answer:
Hello. Thanks for writing your query.

I am Dr. kakkar. I have gone through your query and I have also seen the photograph.

This seems like a Keloid scar.

-Does it itch?
-How long since it has been there?

Keloid is due to excessive formation of scar tissue as part of the wound healing process.
Keloids are raised above the surface unlike normal scaring which is flat/level with the skin.
Factors that predispose to a keloid are: genetic predisposition, wound stress/tension, wound infection etc
Keloids are usually itchy and may extend beyond the actual wound margins with finger like projections.
Keloids are best managed with Intralesional steroids e.g Intralesional Triamcinolone Acetonide; this is a depot injection.
The injected steroid causes breakdown of the excessive collagen tissue present in keloid, thereby causing them to flatten.
However, it is not possible to completely erase them. The treatment would just flatten them and make them less noticeable
The injection might be repeated after 3 weeks if required.
Other options are CO 2 Laser vaporization and 5-Florouracil Infection.

You must visit a dermatologist for the needful.

Regards
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Dr. Kakkar (4 minutes later)
Yes it does itch badly. It has been since 1year now.
doctor
Answered by Dr. Dr. Kakkar (3 minutes later)
Brief Answer:
Keloid usually itch; intralesional steroids

Detailed Answer:
Hi.

Thanks for confirming. As I already mentioned, Keloids do Itch.

If I was the treating dermatologist, I would have injected it with Triamcinolone acetonide, which is a depot preparation of steroid.
It should respond remarkably well with intralesional steroids. The injection may be repeated, if required after 3 weeks.

You must visit a dermatologist in your region for the needful.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Keloid

Brief Answer: Seems like a keloid; Intralesional Steroids Detailed Answer: Hello. Thanks for writing your query. I am Dr. kakkar. I have gone through your query and I have also seen the photograph. This seems like a Keloid scar. -Does it itch? -How long since it has been there? Keloid is due to excessive formation of scar tissue as part of the wound healing process. Keloids are raised above the surface unlike normal scaring which is flat/level with the skin. Factors that predispose to a keloid are: genetic predisposition, wound stress/tension, wound infection etc Keloids are usually itchy and may extend beyond the actual wound margins with finger like projections. Keloids are best managed with Intralesional steroids e.g Intralesional Triamcinolone Acetonide; this is a depot injection. The injected steroid causes breakdown of the excessive collagen tissue present in keloid, thereby causing them to flatten. However, it is not possible to completely erase them. The treatment would just flatten them and make them less noticeable The injection might be repeated after 3 weeks if required. Other options are CO 2 Laser vaporization and 5-Florouracil Infection. You must visit a dermatologist for the needful. Regards