Digital retractile keloid in a context of spontaneous keloids - a case report

We report the extremely rare case of a digital and plantar retractile keloid in a 32-year-old patient with a history of spontaneous keloids. Since childhood, she has developed hypertrophic scars following minor trauma, extending beyond the original wound margins. She currently presents a left IV-V syndactyly and a complete flexion contracture of the fifth finger (Tubiana stage IV), as well as a retraction of the right hallux, resulting in functional impairment. The goal of surgical treatment is to restore extension. Retractile keloids occurring in the context of spontaneous keloids are unusual. Their exact pathophysiology remains poorly understood, and curative treatments are currently disappointing. The primary objective of surgery is functional restoration.