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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046

Abstract

BEATO CANFUX, Abraham Ismael; VALDES MESA, Sady; MACHADO FERNANDEZ, Mariela Lázara  and  PALACIOS ALFONSO, Irene Raquel. Giant keloid scar. Rev Cub Med Mil [online]. 2020, vol.49, n.1, e374.  Epub Mar 01, 2020. ISSN 0138-6557.

Introduction:

The keloid scar is part of the pathological scars by excess, is a condition characterized by the excessive deposit of collagen in the dermis and subcutaneous cell tissue, the process by which it develops is not entirely known, it is more frequent in the black race, affects in equal proportion men than women.

Objective:

To inform the medical community of the experience in handling and treating two patients with large keloid lesions.

Clinical case:

Two patients with giant keloid scars are presented from both earlobes and anterior neck where therapeutic behavior based on the combination of three treatment modalities is exposed: surgery, triamcinolone acetonide 1 ml (40mg) infiltration beginning on the first day after surgery, repeated every 15 days and pressotherapy with steroid cream.

Conclusions:

Although there is no ideal treatment, it should be taken into account when treating this disease if we are facing a recurrent injury, the time of onset of the tumor, its clinical characteristics, surgical treatment should be selected as a therapeutic option, accompanied by other forms of treatment.

Keywords : keloid; keloid scars; hypertrophic scar; triamcinolone injection.

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