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Keloid & hypertrophic scars

Keloid et cicatrix hypertrophica · Keloid a hypertrofická jizva

What it is

Scar tissue that keeps growing past the wound.

Symptoms & signs

  • Raised firm scar beyond the original injury
  • itch and tenderness
  • commoner in darker skin
  • ear lobes, chest, shoulders

🚩 Get help if…

  • see a doctor soon A scar that grows fast, bleeds or ulcerates
  • see a doctor soon A scar that becomes hot, red and oozing
  • see a doctor soon A scar that limits movement of a joint
  • see a doctor soon A lump that appeared without any injury

Where it strikes

Medical treatment

  • Intralesional steroid injections
  • silicone sheets
  • pressure earrings
  • excision with radiotherapy
  • cryotherapy

Natural & lifestyle

  • Silicone gel for six months on any new scar
  • avoid unnecessary piercings and surgery in keloid-prone skin
  • sun protection of new scars

Emerging & experimental

  • 5-fluorouracil combinations
  • verapamil injections
  • fractional laser

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Onion-extract gel — trials disagree mixed evidence
  • Vitamin E oil — a trial found no benefit and frequent skin reactions not confirmed in trials

ICD codes