Keloids are smooth, shiny, flesh-colored, raised growths of fibrous tissue that form over areas of injury or surgical wounds. Keloids may form in any scar, even those resulting from severe acne. They are much more common in blacks than in whites and typically develop on the chest, shoulders, back, and, sometimes, face and earlobes. Keloids do not hurt, but they may itch or be sensitive to touch. Merck Manual.
Hypertrophic Scarring and Keloids. Individuals of all ethnic backgrounds can form keloids and hypertrophic scars. Prevalence in the black and Hispanic populations can be as high as 16%, and a familial predisposition is believed to exist. Keloid formation is approximately 15 times greater in highly pigmented ethnic groups than in whites. Medscape.
Keloids and Hypertrophic Scars. It is not known why keloids appear. While most people never form keloids, others develop them after minor injuries, even insect bites or pimples. Keloids may form on any part of the body, although the upper chest and shoulders are especially prone to them. Dark skinned people form keloids more easily than Caucasians. DermNet NZ.
Sometimes keloids occur in patients who have scleroderma, and in particular they are more likely to occur in patients with systemic scleroderma. The terms "keloidal" or "nodular" scleroderma are used interchangeably. (See: What is Scleroderma?)
In one study, keloidal or nodular scleroderma occurred in 6 out of 45 patients with systemic scleroderma. All of the patients with keloidal or nodular scleroderma also had systemic scleroderma, so the presence of keloids in a patient with symptoms of scleroderma should alert the physician to the possibility of systemic scleroderma (not just morphea, as the term "keloid morphea" seems to imply.)
(Includes Photos) Keloids in scleroderma-keloidal scleroderma: A unique entity. Scleroderma with multiple keloids is a rare finding. The morphology of these lesions often does not correlate with the histologic findings. Indian J Dermato.
Keloid Treatment and Management. The treatment of keloids can be subdivided into surgical, nonsurgical, and combined modality treatment. Most of the literature on keloids suggests that a high recurrence rate (50%) is expected, regardless of treatment. Medscape.
Bwana: Keloids The keloids have spread all over my face, back, chest, arms and legs…
Joshua: Morphea My morphea doesn't look like most. In fact, it looks almost star-shape, mostly because it is in lines and not a solid shape. It is not hard either, so my fear is that it could be keloid morphea…
Tina M: Keloids My husband calls them my battle scars or unfinished tattoos…
United Way of Central New Mexico
United Way of Snohomish County
See ISN News for recent donors, including Pam Hop, Margaret Roof, Winifred Schillberg, Arnold Slotkin, and Juliet Youkhana. Plus donations in honor of Kim Thwaits, and in loving memory of Marta Marx, Jim Miller, and Arlene Marie Petulla.
Click Here to Donate or Shop
or click on the floating green DONATE sclero.org button.
SCLERO.ORG is the world leader for trustworthy research, support, education and awareness for scleroderma and related illnesses, such as pulmonary hypertension. We are a service of the nonprofit International Scleroderma Network (ISN), which is a 501(c)(3) U.S.-based public charitable foundation, established in 2002. Meet Our Team, or Volunteer. Donations may also be mailed to: