A keloid is a patch of excessive scar tissue that may form following a skin injury.
Keloids generally form after a skin injury heals. For unknown reasons, some people produce an excess of dense, fibrous tissue at and around the site of injury. A keloid is abnormal because the scar extends above and beyond the site of the original injury. Normal scars stay confined to the site of injury.
The exact cause of keloids is unknown. They do run in families, however, and are associated with certain abnormal genes. Other risk factors for keloids include the following:
Keloids are associated with skin healing after injury. Some events associated with keloid formation include the following:
Keloids are thick, smooth areas of pink scar tissue. The scar tissue is raised above the level of the surrounding skin. Some keloids are itchy or tender.
Keloids can occur on any skin area. The most common locations for keloids vary according to race. In Caucasians, for example, keloids are most common on the face and arms. Blacks tend to develop keloids most often on the face and legs.
Keloids are diagnosed by their appearance.
Persons who tend to develop keloids should avoid cosmetic procedures to their skin. If surgery is necessary, an injection of cortisone can be made into the skin first. This may lower the risk of developing a keloid.
Keloids may be cosmetically embarrassing. However, they cause no long-term health problems.
Keloids are not contagious and pose no risk to others.
Treatment of keloids can include:
Surgery may cause bleeding, infection, or allergic reaction to anesthesia. Surgical removal of a keloid may also cause an even larger keloid to form.
Keloids may continue growing for many years. Keloids do not disappear or become normal in size. Over time, however, they usually flatten and become less pink and obvious.
Any new or worsening symptoms should be reported to the healthcare provider.
Author:Lynn West, MD
Date Written:
Editor:Crist, Gayle P., MS, BA
Edit Date:04/30/01
Reviewer:Eileen McLaughlin, RN, BSN
Date Reviewed:08/20/01