sweetybokhari
Forum Elite
Topics: 118
Posts: 148
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best treatment of keloid
1-laser
2-surgery
3-intralessional steroids.
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| sweetybokhari
Forum Elite
Topics: 118
Posts: 148
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can anyone one give answer with explanation,thanks
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| Guptashutosh
Forum Elite
Topics: 35
Posts: 354
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keloid is notorious for recurrence so surgery is not very effective or say definitive.....
cant say about laser
i`ll go with inraleisonal steroids , as i `d treated the pt in similar Rx
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| chemamr
Moderator and PGY2
Topics: 703
Posts: 4,442
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tx for keloids is difficult, I think there isn't one best therapy.
- excision (surgery) followed by intralessional steroids can be a good management.
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| drashishmahajan
Forum Senior
Topics: 6
Posts: 92
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no surgery .. tht ii only inc the size of the keloid as it reforms... intrlesional inj is the treatmnt
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| chemamr
Moderator and PGY2
Topics: 703
Posts: 4,442
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I would answer 3 if this were an exam.
my previous answer was based on a general surgery textbook (greenfield).
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| snowdrops
Forum Senior
Topics: 5
Posts: 146
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This is the question on my MCCEE test. I chose intralesional steroid. I am not so sure. But think about: If do surgery, that will be more scar tissue comes out.
Now, I am checking Toronto Notes. Here is the treatment listed on there:
1. intralesional steroid injection.
2. cryotherapy.
3.silicone compression.
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| mjl1717
Forum Hero
Topics: 955
Posts: 5,451
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roids!
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| npas
Forum Senior
Topics: 8
Posts: 198
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Surgery..definitely no..LASER is usually used when intra lesional steroids sometimes causes increased vascularity and reddening..I'am not sure about this one!!
Intralesional steroids would be the best out of 3..
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| keller
Forum Junior
Topics: 4
Posts: 58
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I would choose surgery although I know this is not a cure since it will grow again from the surgical scar. I guess, surgery is chosen when the lesion is big and causes ethetic problems or pain, other than those I wouldn´t touch it.
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| dr in trouble
Forum Guru
Topics: 60
Posts: 592
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intralesional steroids r best among 3.
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