Last Updated: 2020-11-19
Bead scar, scar growth, scar keloid.
Benign, hypertrophic connective tissue proliferation.
Especially young adults.
Increased risk for Africans (compared to Caucasians up to 20-fold higher incidence) and Asians.
After trauma or spontaneously.
Increased collagen synthesis (structural proteins are mainly replaced by collagen type I).
Especially in the face, pre-sternal, and on the upper arms exophytic wash-like, hypertrophic, skin-colored to "ivory-like", roughly palpable, sharply defined, plate- or knot-like bulges with often telangiectasia. Loss of hair, sebaceous glands and skin relief. Unlike a hypertrophic scar, the keloid goes beyond its original boundaries.
- Kenacort-A® 10 or 40 mg injection suspension
- Clobetasol (Dermovate® Cream/Ointment) occlusive
- Compression therapy
- Cryosurgery: 2 x 15 seconds, goal is the tissue sinking of the keloid and healing ad secundam
- Surgical removal: high risk of recurrence, possibly combined with brachytherapy and compression
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