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Eruptive Keloids in a Young Female Following Varicella: A Case Report
Sandesh Shah1, Rabin Baniya1, Joshana Shrestha1
1Department of Dermatology Nepal Medical College and Teaching Hospital Kathmandu Nepal.
Abstract:
Keloids are fibroproliferative scars extending beyond the original wound margin and are more common in individuals with darker skin types. Eruptive keloids represent a rare clinical presentation characterized by the sudden development of multiple lesions. Only a few cases have been reported following varicella infection. We report a 15-year-old immunocompetent female who developed five painful and pruritic keloids over the jaw, chest, abdomen, and flank within 2 months of primary varicella infection. All lesions corresponded to healed varicella scars. Diagnosis was made clinically based on classical morphology. The patient was managed conservatively due to financial constraints, and lesions remained stable during follow-up. Varicella-induced inflammatory and profibrotic cytokine responses may contribute to aberrant wound healing. Clinicians should recognize this rare temporal association to ensure early counseling and appropriate management.
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