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Pediatric keloids: A 6-year retrospective review
Afieharo I Michael1, Samuel A Ademola1,2, Olayinka A Olawoye1,2
1Department of Plastic, Reconstructive and Esthetic Surgery, University College Hospital, Ibadan, Oyo State, Nigeria.
Pediatric Dermatology
|October 13, 2017
Summary
Pediatric keloids are not as rare as previously thought, with a 20% recurrence rate. Early and multimodal management is crucial for better outcomes in children with keloids.
Area of Science:
- Dermatology
- Plastic Surgery
- Pediatric Medicine
Background:
- Keloids are often considered rare in pediatric populations.
- This study investigates the occurrence of keloids in children.
Purpose of the Study:
- To describe the epidemiology of pediatric keloids.
- To analyze treatment outcomes and recurrence rates in children.
Main Methods:
- Retrospective review of nonburn keloids in patients under 19 years old (2008-2014).
- Data collected on demographics, keloid characteristics, family history, treatment, and outcomes.
- Statistical analysis using Pearson chi-square and independent-sample t tests.
Main Results:
- 40 (13.1%) of 304 keloid patients were pediatric.
- Female preponderance (57.5%) with mean age at onset of 9.3 years.
- Head and neck region most affected (75%); 20% recurrence rate, associated with lesion size.
Conclusions:
- Childhood keloids are more common than reported.
- Increased attention to keloid management in pediatric patients is needed.

