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Spontaneous multiple keloids: a case report.
Aishwarya Kishor Kedar1, Vivek Dipakrao Alone1, Rohini Amar Rathod2
1Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India.
The Pan African Medical Journal
|November 11, 2024
Summary
This study highlights a rare case of spontaneous keloid scars appearing without injury. Treatment with intralesional triamcinolone acetonide and lignocaine hydrochloride significantly improved scar appearance and reduced patient distress.
Area of Science:
- Dermatology
- Pathology
Background:
- Keloidal scars result from abnormal healing after skin injury or inflammation.
- Spontaneous keloid formation without preceding trauma is uncommon.
Observation:
- A 60-year-old male presented with a 50-year history of undiagnosed, widespread skin lesions.
- Histological examination confirmed the lesions to be keloids.
- The patient had no history of trauma or surgery preceding lesion development.
Findings:
- Intralesional injection of triamcinolone acetonide (40 mg) combined with lignocaine hydrochloride (2%) yielded significant scar reduction within one month.
- The treatment also led to a notable decrease in the patient's psychological burden.
Implications:
- This case supports the occurrence of spontaneous keloid scars.
- It demonstrates a rare manifestation of numerous, sizable keloid lesions across various body locations.
- The findings suggest intralesional corticosteroid and local anesthetic injections as an effective treatment for spontaneous keloids.
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