Wednesday, July 21, 2010

Refering to this forum to answer all questions regarding keloid treatments!?

Keloid experience; Hi, I've had keloids for 5 years now. Just like other posts says, keloids are hard to treat, and nearly impossible. I've used silicone sheets, scar creams, steroid injections, laser surgery, scrubing with palm oil soap, tea tree soap, coconut/lime+vitamin E soaps.





My Treatment experience:





Silicone sheets- just reduces a little bit of swelling, did nothing to get rid of keloids.





Scar cream- soothes the skin, did nothing to get rid of the keloids.





Steroid injection- painful, reduces swelling, keloid grows back after one month.





Laser surgery- painfully burns a thin layer of skin, redness and itching, swelling occurs, more keloids grows back after the surgery.





scrubbing with:


palm oil soap- makes the skins less itchy, irritated, but does not help treat keloids





tea tree soap-currently using; reduce swelling, does not help prevent skin from becoming irritated.





coconut/lime+vitamin E soaps; drys out skin, reduces swell/itch.





Any suggestions?

Refering to this forum to answer all questions regarding keloid treatments!?
Steriod injection is the firstline treatment. 70% of lesions respond to this, although up to 50% recur within 5 years.





Surgical excision by a skilled dermatologist in combination with steroid or interferon injections and post-op use of imiquimod can work very well with much lower recurrence rates.





Cryotherapy can work well. 50% respond, though can result in lighter color skin (not so good if you have darker skin).





Radiation therapy is highly successful for reducing recurrence, epsecially if following surgical excision (up to 90% success rates). However, with lon-term risks of developing cancer, this one is reserved for special cases, of course.





Interferon alfa injections help after excision, as well.





5-FU, or Intralesional fluorouracil is yet another option. %26gt;50% response after 12 weeks.





Pulsed dye laser can also help.





All-in-all, a very difficult problem, as you have learned.





Your BEST bet is to see a very skilled and experienced dermatologist who is willing and able to treat with intalesional steroids combined with the interferon alpha in addition to using imiquimod cream after surgical excising the lesion.





Unfortunately, this is likely to be expensive and most likely not covered by insurance.





Hope this helps some.

china green

No comments:

Post a Comment