Gary J. Braunerr, MD

Keloids

What is the cause of keloids?
Keloids are scars that continue to heal and grow beyond the time for normal wound healing. They occur rarely in Caucasians and are more prevalent in those of South Asian ancestry and especially African sub-Saharan ancestry. They bear no relation to the depth of skin color, however the precipitating injury can be as minor as an insect bite or acne pimple or as extensive as surgical (even ear-piercing) wounds. The tendency in Africans is so pronounced that a number of African cultures have incorporated scarification (deliberate scaring) patterns into tribal or religious rights of passage, such as the onset of puberty

How do I know if I have a keloid?
A keloidal scar is a thick dense, hard lump ranging from the size of a small sesame seed to that of a grapefruit, and expanding well beyond the area of the original injury or area of inflammation.

What are the best treatments for keloids?
Treatment of keloids can be very difficult since they commonly recur—sometimes even larger in size than prior to removal.

It is first essential to limit development of future keloids by treating any potential underlying skin diseases (e.g., acne).

Dermatologists commonly treat keloids with serial steroid injections directly into the lesion. Removal of a keloid may be performed with a variety of procedures ranging from surgical excision to laser excision. Other treatments include topical medications (e.g., steroids, imiquimod, retinoids, anti-inflammatory agents), medicated tape, silicone gel sheeting, compression (e.g., pressure earrings), chemotherapy injections, and cryotherapy (freezing). Localized radiation treatments may also be used to prevent recurrence. In all instances, frequent and careful follow-up with a dermatologist is essential.

References

  1. Madu, P. and R.V. Kundu, Follicular and scarring disorders in skin of color: presentation and management. Am J Clin Dermatol, 2014. 15(4): p. 307-21.
  2. Shih, B. and A. Bayat, Genetics of keloid scarring. Arch Dermatol Res, 2010. 302(5): p. 319-39.
  3. Shockman, S., K.V. Paghdal, and G. Cohen, Medical and surgical management of keloids: a review. J Drugs Dermatol, 2010. 9(10): p. 1249-57.

Share:

Search Results for : keloid

Keloids

Gary J. Braunerr, MD Keloids What is the cause of keloids? Keloids are scars that continue to heal and grow beyond the time for normal wound healing. They occur rarely in Caucasians and are more prevalent in those of South Asian ancestry and especially African sub-Saharan ancestry. They bear no relation to the depth of…


Acne Keloidalis (Folliculitis Papillaris)

What is the cause of “acne keloidalis?” Folliculitis papillaris or the commonly misnamed “acne keloid” (since it is not acne and does not result in keloids) is a chronic condition lasting many years occurring mostly in Black young men as itchy bumps on the back of the neck. These bumps may spread onto the scalp…


Remembering Dr. A. Paul Kelly

On May 13, six years ago, SOCS founding/honorary emeritus member Dr. A. Paul Kelly passed away. Known as a “Quiet Pioneer” of skin of color dermatology, Dr. Kelly dedicated his life to researching issues associated with skin of color, and to improving dermatological care for his patients. He inspired and challenged nearly 90 dermatology residents,…


Donald Glass II, MD, PhD, FAAD

Donald Glass II, MD, PhD, FAAD is an Assistant Professor, Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas. Originally from the Bahamas, Dr. Glass enrolled in the Medical Scientist Training Program at Baylor College of Medicine (BCM) in 1998. He received his PhD from BCM in 2005 from the Department of Human…


Dallas Educational and Networking Event

Dallas, TX - July 23, 2018 Synopsis of meeting:  The Skin of Color Society held a networking and educational event at the Hotel Zaza Art House in Dallas, TX.  The event provided members and other guests a chance to enjoy networking, education and a unique venue. The event was attended by established dermatologists as well…


What Is New In Skin Of Color Research

The Latest in SOC Research Central Centrifugal Cicatricial Alopecia in Children: A Case Series and Review of the Literature. This study looked at CCCA in six children and found that five had a family history of CCCA suggesting that genetic susceptibility may play a larger role than previously thought. Read more here. Dermoscopy and patch…


2018 Annual Symposium

14th Annual Skin of Color Society Symposium Thursday / February 15, 2018 Marriott Marquis San Diego Marina 333 W. Harbor Dr., San Diego, CA 92101 Room: Grand Ballroom 6 San Diego, California     Dear Friends and Colleagues, On behalf of the Skin of Color Society’s Scientific Committee, we are pleased to invite you to…


physician SPOTLIGHT

Jenna O'Neill, MD, FAAD Board-Certified Dermatologist Board Member, Buffalo Medical Group, PC Diplomate, American Academy of Dermatology 2013 Skin of Color Society Research Award Winner Title of research: Genetic Factors in CCCA Dr. Jenna O’Neill, MD, FAAD is a board-certified dermatologist employed in private practice in Buffalo, New York. She is a physician partner and…


Pseudofolliculitis barbae

Gary J. Brauner, MD Pseudofolliculitis barbae What is the cause of Pseudofolliculitis barbae? Pseudofolliculitis barbae (PFB) or “razor bumps” is a chronic inflammatory condition of the skin caused by shaving or plucking hairs and sometimes genetic factors. It begins in teen years as soon as shaving begins and lasts a lifetime. It is predominantly a…


Past Research Grant Recipients

For additional information about the Skin of Color Society (SOCS) Research Grant please visit this page.  SOCS Grant Recipients & Projects 2019 Crystal Aguh, MD Investigating the Role of Metabolic Dysregulation in the Pathogenesis of CCCA 2018 Shawn G. Kwatra, MD Molecular Basis of Itch in African Americans 2017 Temitayo A. Ogunleye, MD Molecular Analysis…


Newsletter Icon

Research Award

Click here for more information on the Valeant Research Award.

Learn More
>

Curtis Icon

Cutis Journal

Read published peer-reviewed articles written your by Skin of Color Society members

Newsletter Icon

Join Our Newsletter

Stay up-to-date on the latest news and happenings related to The Skin of Color Society.