Keloid: a rare clinical image

At the location of a healed skin injury, keloids are an overgrowth of granulation tissue (collagen type 3), which is gradually replaced by collagen type 1. Keloids are glossy, fibrous nodules or firm, rubbery lesions that can range in color from red to black or pink to the color of the person´s skin Brown in hue. The average keloid scar is greater than the actual wound. They might take weeks or months to develop completely. They´re most commonly found on the chest, shoulders, earlobes, and cheeks. A 40-year-old male came with complaints of a lumpy or ridged area of skin with a pinkish color that was painless along with itching on the chest region for 8-9 months. On clinical examination and microscopic examination, a biopsy was done. The patient had normal blood count and glucose levels. Through this, it was diagnosed as keloid. As per Ayurved local application of alkaline preparation was given and the patient was kept on conservative treatment for 3 months. After 1 month of follow-up, there was no itching and the keloid became dry, and blackish with a size reduction. This image could be useful for differential diagnosis between hypertrophic scar, dermatofibromas, and keloid.