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Palmar fasciectomy and keloid formation
1Department of Plastic and Reconstructive Surgery, Countess of Chester Hospital, Chester, UK.
British Journal of Plastic Surgery
|February 5, 2000
Summary
This study reports the first case of hand keloid formation associated with Dupuytren's disease in a Caucasian patient. Surgical excision and triamcinolone injection successfully treated the keloid.
Area of Science:
- Dermatology
- Plastic Surgery
- Hand Surgery
Background:
- Keloid formation is a common dermatological condition.
- Dupuytren's disease affects the connective tissue in the palm.
- Hand surgery can sometimes lead to complications like keloid scarring.
Observation:
- A 53-year-old Caucasian patient developed a keloid on the palm after Dupuytren's contracture release surgery.
- Literature review revealed only two prior cases of hand keloids, both in Black patients.
- This is the first reported instance of keloid formation linked to Dupuytren's disease.
Findings:
- Surgical excision of the keloid was performed.
- Intraoperative injection of triamcinolone into the wound edges was administered.
- The patient achieved a clinical cure following the combined treatment approach.
Implications:
- This case expands the understanding of keloid formation triggers.
- It highlights a potential association between Dupuytren's disease and keloid scarring.
- The treatment protocol may offer a successful strategy for similar cases.