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Keloids are an unorganized proliferation of fibrous tissue, usually arising from a site of injury due to an aberrant healing process. Clinically, it presents as ugly scar tissue on the skin and shows genetic predilection. They cause esthetic, physical, and psychological disturbances in the affected individuals. Such patients require special precautions during routine surgical procedures. Its treatment is associated with a high degree of resistance and recurrence. In this article, one such case is reported along with a literature review discussing the nature of the lesion, treatment options, and the recommended precautions.

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