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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Distinguish Between Suture Granuloma And Keloid?

I have a keloid that is draining a clear, bloody type liquid...It is over a c- section scar and it occured about 6 months ago. I have had three c-sections and this is the first keloid..my last surgery was in Feb 2009... I've always felt like there was something pointy in that area like an old suture or a staple and it still feels that way. I don't know if it is a suture granuloma or a keloid,how do I distinguish between the two?
Wed, 21 Jan 2015
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Pathologist and Microbiologist,  's  Response

Hi, If I were your treating Doctor for this case of wound infection, I would say that your problem is not a keloid or hypertrophic scar; nor it is a suture granuloma; rather it is kind of a sinus getting infected repeatedly!

Some atypical mycobacteria could produce such symptoms also!

I think only biopsy confirms this; however, microscopic study along with Culture of the wound discharge would help you in determining the treatment line.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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How To Distinguish Between Suture Granuloma And Keloid?

Hi, If I were your treating Doctor for this case of wound infection, I would say that your problem is not a keloid or hypertrophic scar; nor it is a suture granuloma; rather it is kind of a sinus getting infected repeatedly! Some atypical mycobacteria could produce such symptoms also! I think only biopsy confirms this; however, microscopic study along with Culture of the wound discharge would help you in determining the treatment line. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.