Description of site-specific morphology of keloid phenotypes in an afrocaribbean population

Duncan Mcgrouther, Ardeshir Bayat, G. Arscott, W. E R Ollier, M. W J Ferguson, D. A. Mc Grouther

    Research output: Contribution to journalArticlepeer-review


    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 languageEnglish
    Pages (from-to)122-133
    Number of pages11
    JournalBritish Journal of Plastic Surgery
    Issue number2
    Publication statusPublished - Mar 2004


    • Disease phenotypes
    • Heredity
    • Heterogeneity
    • Keloid disease
    • Scar morphology
    • Site-specific


    Dive into the research topics of 'Description of site-specific morphology of keloid phenotypes in an afrocaribbean population'. Together they form a unique fingerprint.

    Cite this