dermatologic disorders
Keloids
Treatment of Keloids
Possibly corticosteroid injection, excision, gel sheeting, and/or immunomodulators Treatment of keloids is often ineffective. Monthly corticosteroid injections (eg,triamcinoloneacetonide 5 to 40 mg/mL) into the lesion sometimes flatten the keloid. Surgical or laser excision may debulk lesions, but they usually recur larger than before. Excision is more successful if preceded and followed by a series of intralesional corticosteroid injections. Gel sheeting (applying a soft, semiocclusive dressing made of cross-linked polymethylsiloxane polymer, or silicone) or pressure garments are other adjuncts to prevent recurrence. More recently, immunomodulators (eg, topicalimiquimod) have been used to prevent keloid development or recurrence. 