KELOIDS IN VARIOUS RACES A Review of 175 Cases

Alhady, S. M. A.; K, Sivanantharajah

doi:10.1097/00006534-196912000-00006

Cited by 176 publications

(86 citation statements)

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“…We found a higher than expected incidence of keloid formation associated with inguinal incision. Beside racial predilection for keloid, 15 we posited that the surgical techniques used might also contribute to the high incidence of keloid formation.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Male Genital Abnormalities: A Population Study

Wan

Wang

2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: There are misconceptions regarding childhood phimosis. Textbooks still teach that male children should have retractable foreskin by age 3. Young children are referred for evaluation for phimosis, which is a commonly used diagnosis for postneonatal circumcision. WHAT THIS STUDY ADDS:We found a high prevalence of physiologic phimosis in kindergarten children, up to 44% at age 6. We also reviewed the incidence of other congenital abnormalities in this coastal Chinese city. The management and complications of these conditions were analyzed. abstract BACKGROUND: We conducted genital health wellness screens in male kindergarten children between the ages of 3 and 6 years to assess the incidence of congenital abnormalities and their treatment. METHODS:We performed genital examinations on 2241 male children in 8 kindergartens. We screened for 4 conditions: phimosis, hypospadias, cryptorchidism, and hydrocele/hernia. We assessed the incidence of these conditions and the effectiveness or lack of their treatment.RESULTS: Among this sample, 55.5% children aged 3 to 4 years and 44.1% aged 5 to 6 years were found to have persistent phimosis. The circumcision rate, excluding those performed in conjunction with hypospadias repair, was 2.8%, but it carried a 3.2% complication rate. There was a lower incidence of hypospadias and cryptorchidism than reported in the literature at 0.2% and 0.4%, respectively. Our hypospadias repair rate was 60%, with a success rate of 66.7%. Our cryptorchidism repair rate was only 25%, and all repairs were performed above the age of 5 years. Incidence of hydrocele and hernias was 1.2%, and our treatment rate was 46.2%. Finally, we found high incidence of keloid formation, 73.3%, associated with inguinal incision. CONCLUSIONS:There was high prevalence of phimosis in Chinese boys, a natural physiologic condition, up to age 6. There appeared to be lower incidences of hypospadias and cryptorchidism in our screened population. However, there were opportunities for us to improve the diagnosis and treatment of these 2 conditions. Our hydrocele/hernia incidence was on par with literature, but we had a lower treatment rate. Finally, we found a high incidence of keloid formation associated with inguinal incision. Pediatrics 2014;133:e624-e627 AUTHORS:

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Section: Discussionmentioning

confidence: 99%

Epidemiology of Male Genital Abnormalities: A Population Study

Wan

Wang

2014

Pediatrics

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“…The incidence of keloid formation is difficult to assess as it varies from 4.5% to 16% in the Black and Hispanic populations 4,5 . The incidence of keloid in dark-skinned people is estimated to be 3 to 20 times that of light-skinned people 1,[5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Surgery and Perioperative Intralesional Corticosteroid Injection for Treating Earlobe Keloids: A Korean Experience

et al. 2009

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Background:The aesthetic implications of ear keloids, which affect people of all races, are serious and the treatment of earlobe keloids is known to be difficult. The high rate of recurrence following excision alone has led to investigating various types of adjuvant therapy, including intralesional corticosteroid injection. Objective: We evaluated the efficacy of excision combined with perioperative intralesional triamcinolone acetonide injection for treating earlobe keloids of Korean patients. Methods: From 1997 to 2006, eighteen keloids on the earlobes of fifteen Korean patients were treated. The patient age ranged from 15 to 32 years (mean age: 24 years). All the patients were female and the keloids occurred after ear piercing. Preoperative intralesional triamcinolone acetonide (TA) injection was administered twice at a 1-month interval. Postoperative intralesional TA injections were given every 1 month for several months, depending on the patient's clinical progress. Results: The follow-up period ranged from 4 to 42 months (mean: 18.5 months). After the surgery, TA intralesional injections were given 2 to 13 times (mean: 5.2 times). Of the treated keloids, eleven showed good results (61.1%) and three recurred (16.6%). No complications from the TA intralesional injection were observed. Conclusion: Among the various treatments for earlobe keloids, we suggest that excision with corticosteroid intralesional injection can be used as the first line therapy when considering its effect and economic advantage. (Ann Dermatol 21(3) 221∼225, 2009)

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“…Moreover, the patient was of Asian descent and presented with skin phototype 4/5. Studies have demonstrated that individuals with darker pigmentation and Asian descent are more likely to develop keloids [6]. We believe that these factors contributed to the wrong initial diagnosis established by the general practitioner.…”

Section: Discussionmentioning

confidence: 88%

Cutaneous leiomyomas mimicking keloids

Dimitrov¹,

Reszke

Hamodat

et al. 2016

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Introduction. Cutaneous leiomyomas are rare, benign smooth muscle neoplasms of the skin. According to the origin of the tumor, there are three types of cutaneous leiomyomas: piloleiomyomas, angioleiomyomas and genital leiomyomas. Objective. To present an uncommon case of cutaneous leiomyomas which, due to clinical similarities, had been previously misdiagnosed and managed as keloids. Case report. A 23-year-old woman with Fitzpatrick skin type 4/5 was referred to the outpatient department of dermatology for treatment of keloids on the left shoulder. After examination we decided to take a skin biopsy for histopathological and immunohistochemical investigation, which revealed cutaneous leiomyomas. Conclusions. Cutaneous leiomyomas may be misdiagnosed as keloids. The former are of clinical relevance as they may denote hereditary leiomyomatosis and renal cell cancer. Early recognition is of paramount importance and may be life-saving. streszczenie Wprowadzenie. Mięśniaki gładkokomórkowe skóry są rzadkimi guzami z mięśni gładkich. Wyróżnia się wśród nich trzy podtypy: piloleiomyoma, angioleiomyoma oraz mięśniaki okolicy płciowej. Cel pracy. Przedstawienie nietypowego przypadku mięśniaków gładko-komórkowych skóry, które na podstawie obrazu klinicznego były wcześniej zdiagnozowane i leczone jak keloidy. Opis przypadku. Kobieta 23-letnia z fototypem skóry 4/5 według Fitzpatricka została skierowana do poradni dermatologicznej w celu leczenia keloidów na lewym barku. Po badaniu klinicznym zdecydowano o wykonaniu biopsji skórnej w celu przeprowadzenia badania histopatologicznego oraz immunohistochemicznego, które wykazały obecność mięśniaków gładkokomórkowych skóry. Wnioski. Mięśniaki gładkokomórkowe skóry mogą być błędnie zdiagnozowane jako keloidy. Guzy te mają znaczenie w praktyce klinicznej, ponieważ ich obecność może świadczyć o wrodzonej mięśniakowato-ści oraz raku nerkowokomórkowym. Wczesne ustalenie diagnozy jest szczególnie ważne i może uratować życie pacjenta.

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KELOIDS IN VARIOUS RACES A Review of 175 Cases

Cited by 176 publications

References 0 publications

Epidemiology of Male Genital Abnormalities: A Population Study

Epidemiology of Male Genital Abnormalities: A Population Study

Surgery and Perioperative Intralesional Corticosteroid Injection for Treating Earlobe Keloids: A Korean Experience

Cutaneous leiomyomas mimicking keloids

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