Tuesday, August 17, 2010

Hoe do you treat a keloid & prevent it from recurring?

reasons for occurrence of KELOID. is there any advanced medical treatment. if yes pl provide address. Any treatment in allopathy or Homoeo or Ayurveda

Hoe do you treat a keloid %26amp; prevent it from recurring?
The wounds of some people undergo aberrant healing, resulting in the formation of keloids or hyperthropic scars .





Keloid scars:





Are actually thick, puckered, itchy clusters of scar tissue that grow beyond the edges of a wound or incision and rarely regress. Keloid scars are sometimes very nodular in nature, and they are often darker in color than surrounding skin. They occur when the body continues to produce tough, fibrous protein (known as collagen) after a wound has healed.





Keloids can appear anywhere on the body, but most commonly occur over the breastbone, on earlobes and on shoulders. Keloids frequently occur in people with dark skin, such as individuals of Asian, African or Middle-Eastern descent. A person's tendency to develop keloids does lessen with age. However, one of the most troublesome aspects of keloid scars is their tendency to recur, sometimes requiring repeated treatment.





Keloids are fibrotic tumors characterized by a collection of atypical fibroblasts with excessive deposition of extracellular matrix components, especially collagen, fibronectin, elastin, and proteoglycans. Histologically, keloids contain relatively acellular centers and thick, abundant collagen bundles that form nodules in the deep dermal portion of the lesion. Keloids present a therapeutic challenge that must be addressed as these lesions can cause significant pain, pruritus (itch) and physical disfigurement, may not improve in appearance over time, and can even limit mobility if located over a joint.





It must be noted that there is NO known cure for keloids that will totally cure the problem. There are a few companies that are working towards a more effective treatment, focusing on aspects such as Transformation Growth Factor inhibition.





Some of the treatment that are currently available are described below. These treatments have varying degrees of effectiveness. Usually, any inteference to a keloid can lead to it recurring and becoming bigger than it previously was.





* Surgery — Surgery requires great care during and after the operation. Keloids that return after being excised may be larger than the original. There is a 45% chance of recurrence after surgical removal. However, keloids are less likely to return if surgical removal is combined with other treatments. Surgical or laser excision may be followed by intralesional injections of a corticosteroid. Plastic closure of the skin including techniques such as v-plasty or w-plasty to reduce skin tension are known to reduce recurrence of keloids following excision.





* Dressings — Moistened wound coverings made of silicone gel (such as Dermatix) or silastic have been shown in studies to reduce keloid prominence over time. This treatment is safe and painless.





* Steroid injections — Steroid injections are best used as the scar begins to thicken or if the person is a known keloid former. A series of injections with triamcinolone acetonide or another corticosteroid may reduce keloid size and irritation. However injections are often uncomfortable and in large and/or hard scars can be difficult to inject requiring local anesthetic for people over 16, and full anesthetic for people under. The treatment area can become very painful as the anesthetic wears off.





* Compression — Compression bandages applied to the site over several months, sometimes for as long as six to twelve months, may lead to a reduction in the size of the keloid. This is the best treatment at preventing new scars.





* Cryosurgery — Cryosurgery is an excellent treatment for keloids which are small and occur on lightly pigmented skin. It is often combined with monthly cortisone injections. The use of cryotherapy is limited since it causes skin blanching. It freezes the skin and causes sludging of the circulation beneath, effectively creating an area of localized frostbite. There is a slough of skin and keloid with re-epithelization .





* Radiation therapy — Electron beam radiation can be used at levels which do not penetrate the body deeply enough to affect internal organs. Orthovoltage radiation is more penetrating and slightly more effective. Radiation treatments may reduce scar formation if they are used soon after a surgery while the surgical wound is healing. This is one of the more costly procedures.





* Laser therapy — This is an alternative to conventional surgery for keloid removal. Lasers produce a superficial peel but often do not reduce the bulk of the keloid. The use of dye-tuned lasers has not shown better results than cold lasers.





* Newer treatments — Drugs which are used to treat autoimmune diseases or cancer have shown promise. These include alpha-interferon, 5-fluorouracil and bleomycin. However, there is a need for further study and evaluation of this treatment technique.
Reply:you can go in and have them removed but they will just come back.. it's do to a increase of melanin in your skin.. it's the nature of the beast dear
Reply:Try this....





http://www.medicinenet.com/keloid/articl...
Reply:Please see the webpages for more details and images on Keloid.
Reply:Try ReJuveness or some other silicon sheeting. It does help reduce the scar.





You are genetically predisposed to keloids like me.

mayflower

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