KELOIDS AND HYPERTROPHIC SCARS

BACKGROUND. Keloids and hypertrophic scars are benign fibrous growths which usually occur after trauma in predisposed individuals. Their eti ology, clinical manifestations and treatment are diverse. OBJECTIVE. T he purpose of this article is to review the pertinent literature conce rning keloids and hypertrophic scars as well as present my own perspec tive on the subject. It is my hope that the information contained here in will help both the dermatologist and dermatologic surgeon better un derstand and manage these vexing lesions. METHODS. Medline literature search as well as original material. RESULTS. There is no one right wa y to treat all keloids and hypertrophic scars. Treatment results have been variable. CONCLUSION. The management of keloids and hypertrophic scars can be difficult and frustrating for both patient and physician. A better understanding of keloid pathogenesis may lead to improved th erapies by which keloid growth and regrowth may be obviated.