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about 80% within 2 years. 2 Radiotherapy, photodynamic therapy bleomycin, steroid, and 5-FU injections can be combined with surgery, but there are scarce information concerning specific techniques, doses, or success rate. [2][3][4] Many studies have reported successful treatment with laser therapy, whose best results are obtained, when using intense pulsed light or fractional lasers. However, when used in monotherapy, laser therapy shows recurrence rates similar to conventional surgery alone (45%-100%). 5 We present a new technique for recalcitrant auricular keloids, which combines surgery, contact cryotherapy, intralesional injections of 5-FU, and TA.

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A 64-year-old male presented with a hyperkeratotic plaque located on the sole. Surgical excision revealed a fullydeveloped nail plate, prompting the diagnosis of onychoheterotopia.