What is the mainstay of treatment for keloids?

Updated: Jan 30, 2020
  • Author: Ginard I Henry, MD; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Answer

Answer

The mainstay of treatment is intralesional steroids. Corticosteroids have been shown to decrease fibroblast collagen synthesis. Triamcinolone acetonide or diacetate 10 mg/mL, 25 mg/mL, or 40 mg/mL can be injected into the lesion, usually with an additional local anesthetic. Initial injection should be limited to 10 mg/mL, since dermal atrophy and hypopigmentation can occur in certain persons. Multiple injections can be made to the same area over intervals of 6-12 weeks to attain the desired effect. Corticosteroids help to flatten the keloid but do little to decrease its width.


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