Keloid scar on chest

Human skin is very fragile, especially keloids on the chest, which should be paid more attention due to the special location of the scars. We know that keloids can be divided into two main types: one is primary, which is congenital; the other is secondary, which is acquired. In comparison, the treatment of the latter is simpler, so how to treat it specifically?

Keloid is the result of excessive proliferation of collagen fibers caused by the loss of normal control over collagen synthesis metabolism during the healing process of skin injury, which remains in a hyperactive state. It is also called connective tissue hyperplasia and is called keloid or giant scar disease in traditional Chinese medicine. It manifests as a benign mass that protrudes from the normal skin, has different shapes, is red in color and has a hard texture.

Clinical manifestations

Keloids can be roughly divided into two categories: primary and secondary. Primary keloids are mostly found on the chest or behind the shoulders. They start out as small red dots with itching, gradually growing from small to large and from soft to hard. They are red or dark red in color and may be cord-shaped, butterfly-shaped, round, or irregular in shape. Secondary keloid is also called hypertrophic keloid, which is further divided into acne keloid and scar cancer. It is mostly caused by burns, trauma, acne, infection and suppuration, or by surgery, laser, freezing, skin grafting, and hormone drug sealing, which will cause excessive proliferation of damaged tissue and destruction and degeneration of subcutaneous tissue, bulging skin, red or dark red color accompanied by itching or tingling, and some have obvious capillaries extending outward. Symptoms tend to worsen after drinking alcohol or eating spicy and other irritating foods.

treat

Keloids are very difficult to treat, and radiation therapy can shrink and soften them. The external application of Fujining patch is very suitable for small plaques of keloids. It can relieve itching and pain, and soften and shrink scars. It can also be treated with corticosteroid ointment or cream. Triamcinolone acetonide suspension is injected into the lesion, with the focus on the front end of the keloid to prevent it from extending outward. The injection can be made with pure triamcinolone acetonide suspension or diluted with lidocaine, and the injection is required to be within the scar tissue.

Oral tranilast is effective in treating keloids. Qunilast, formerly known as cinnamic anthranilic acid, is an H1 histamine antagonist. During the treatment process, it was found that it has the effect of inhibiting fibroblasts. The dose needs to be increased to treat keloids, and it needs to be taken orally for more than half a year. After taking the medicine, it will first relieve itching and pain, and the scar will become thinner, with very few adverse reactions.