Steroid injections keloid scars side effects

As others have noted, effective treatment of keloids can be very difficult.  The reason for this is that keloids are an abnormal response to injury, and area of scar tissue that grows beyond its natural boundaries.  On examination of a piece of Keloid tissue under a microscope, it looks substantially different than the average scar.  The initial phase of treatment is to slow the inflammation, ergo the use of several spaced injections.  The next option is to excise the scar surgically (50% recurrence rate) or to treat with radiation.  After excision, the area can be radiated and/or re-injected with steroid. Some Surgeons advocate placement of topical mitomycin and/or topical 5 flurouracil at the time of excision. Despite all of these options, keloids can and do recur.

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Another issue with usage of intra-lesional steroids is the size, length and thickness of the needle used to inject the keloid lesions. Some physicians falsely believe that a large and thick needle should be used to inject large keloid lesions. This belief comes from the fact that injecting some old and dense keloid lesions is a rather difficult task. In treating keloid lesions, the smaller and thinner the needle is, the less damage it causes to the keloid tissue. Dr. Tirgan only uses the smallest and thinnest needles, those that are used to inject insulin under the skin. With this method, Dr. Tirgan is able to inject any keloid.

Keloids were described by Egyptian surgeons around 1700 BCE, recorded in the Smith papyrus, regarding surgical techniques. [ citation needed ] Baron Jean-Louis Alibert (1768–1837) identified the keloid as an entity in 1806. [ citation needed ] He called them cancroïde , later changing the name to chéloïde to avoid confusion with cancer. The word is derived from the Greek χηλή , chele , meaning " hoof ", here in the sense of "crab pincers ", and the suffix -oid , meaning "like".

Steroid injections keloid scars side effects

steroid injections keloid scars side effects

Keloids were described by Egyptian surgeons around 1700 BCE, recorded in the Smith papyrus, regarding surgical techniques. [ citation needed ] Baron Jean-Louis Alibert (1768–1837) identified the keloid as an entity in 1806. [ citation needed ] He called them cancroïde , later changing the name to chéloïde to avoid confusion with cancer. The word is derived from the Greek χηλή , chele , meaning " hoof ", here in the sense of "crab pincers ", and the suffix -oid , meaning "like".

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