Abstract
By examining the keloid scars of 211 Afrocaribbean patients presenting to the Plastic Surgery unit in Kingston, Jamaica, we have described site-specific morphologies of scarring; ketoid disease is not a homogenous biological entity. All cases conformed to clinical criteria for diagnosis of keloid scarring: 369 keloid scars were present in 137 females (2-83 years; mean 29.6 years; SD ± 14.9 years) and 74 males (5-90 years, mean 29.5 years; SD ± 15.0 years). Morphologies were specific to each anatomical site: trunk scars (n = 45, 12.1%) were geometrically shaped with clear margins or irregular in outline, surface and margin; back single scars were well-demarcated botryoid but multiple scars were butterfly-shaped, spheroidal and irregular; chest scars (n = 72, 20.1%) were butterfly or nonbutterfly shaped found most commonly in the midsternal line; upper limb scars (n = 57, 15.3%) mostly in the deltoid region (propeller shaped) or elsewhere nodular, Linear to irregular; ear (n = 85, 23%) commonest site being the lobe, having reniform to bulbous shape; face and neck (n = 60, 16.2%) scars were firm nodular to hard; posterior auricular scars were either horizontal and oblong-shaped or vertical and reniform in outline; scalp scars (n = 11, 2.8%) were commonest in the occipital area varying from small papules to large plaques; lower limb scars (n = 39, 10.5%) varied from propeller, butterfly, petalloid to dum-bell-shaped. Three plantar and eight pubic keloids were rare findings. Recognition of different morphological phenotypes is necessary in understanding genotypic predisposition and aiding diagnosis, treatment and prognosis of keloid scars. © 2004 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.
Original language | English |
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Pages (from-to) | 122-133 |
Number of pages | 11 |
Journal | British Journal of Plastic Surgery |
Volume | 57 |
Issue number | 2 |
DOIs | |
Publication status | Published - Mar 2004 |
Keywords
- Disease phenotypes
- Heredity
- Heterogeneity
- Keloid disease
- Scar morphology
- Site-specific