Abstract
Keloids and hypertrophic scars may result from both major and minor trauma. Most
keloids occur sporadically, but some keloid cases are familial inherited in an autosomal dominant mode with incomplete clinical penetrance and variable expression
(58). They have been described in all age groups, although they tend to occur mainly
in those patients aged 10-30 years and to be uncommon in very old and very young
patients (59). They are more commonly seen in black patients. Keloidal scars occur
more frequently on the earlobes, sternum, back, shoulders, cheeks, and upper arms.
They can be cosmetically disfiguring because of their bulk and color. Symptoms such
as pain, burning, or itching have been described (60). Currently, there are three
accepted methods of treatment of keloids and hypertrophic scars: intralesional steroid injections, silicone gel sheeting, or surgical excision followed by either of these