[Gigantic keloïds after chicken-pox. A case report]

Area of Science:

• Dermatology
• Pathology

Background:

• Keloids are benign fibroproliferative tumors arising from skin injury or spontaneously.
• They disproportionately affect individuals with darker skin tones.
• Management of keloids remains a clinical challenge due to high recurrence rates and aesthetic concerns.

Observation:

• A case of a gigantic keloid developing after varicella (chickenpox) in a 29-year-old Black female is presented.
• The keloid appeared following a childhood viral infection at age 6.
• Significant tumor growth occurred even after surgical intervention, leading to severe unaesthetic outcomes.

Findings:

• The keloid's immense size and post-surgical exacerbation underscore the aggressive nature of keloid formation in this patient.
• Treatment resistance and recurrence post-surgery present significant clinical hurdles.
• The case highlights the need for advanced therapeutic strategies for extensive keloid scarring.

Implications:

• This case emphasizes the complex management of gigantic keloids, particularly in susceptible populations.
• It points to the limitations of current treatment modalities in preventing recurrence and achieving satisfactory aesthetic results.
• Further research into the pathophysiology and novel treatment approaches for keloids is warranted.