A keloid scar is one in which there is overgrowth of dense fibrous tissue. This usually develops after the injury has healed. It extends beyond the borders of the original wound. It does not normally regress spontaneously and it will usually recur after excision. This contrasts with hypertrophic scars, which stay within the borders of the original wound.

 

Cause

The cause is unknown, although there are various theories, including:

  • Dysfunction of the extracellular matrix which controls growth factor activity.
  • Abnormalities in collagen turnover.
  • An inherited abnormal response to dermal injury.
  • An immune reaction to sebum.

 

History

  • The scar may be tender, painful, itch or produce a burning sensation.
  • There is usually a history of trauma that may be accidental, surgical or cosmetic.
  • Sites for keloid formation: the most common areas are the sternum, shoulder, earlobe and cheek.
  • Burn scars or infected lesions, including acne, are more likely to form keloids.

 

Clinical features

  • The scar has grown beyond the original line of trauma and may be raised and irregular.
  • The texture is rubbery.
  • It is red in the early stages but becomes brown or pale with age.
  • There are no hair follicles or sweat glands within the scar.
  • Keloids over a joint can contract and restrict movement.

 

Clinical course - the natural history is variable

  • Most lesions grow for weeks-months but growth can continue for years.
  • Growth is usually slow but some keloids can enlarge rapidly over months.
  • When they stop growing, they remain stable or regress slightly.

 

Possible treatments

  • Local steroids
  • Pressure or occlusive dressings
  • Surgery
  • Radiotherapy
  • Cryotherapy
  • Laser treatment

 

Our treatment 

Homeopathy and ayurved treats the person as a whole. It means that our treatment focuses on the patient as a person, as well as on pathological condition. The medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc.