The case discussed here first came to see Dr. Tirgan in April 2014. At that time, she was 19 years old and had numerous acne-induced chest and shoulder keloids. By then, she had received several injections of steroids as well and laser treatments to all her keloids. The image below depicts the appearance of her shoulder keloids during her first visit with Dr. Tirgan in April 2014.
Left Shoulder Keloids- April 2014
Right Shoulder Keloids- April 2014
Acne is a common cause of multi-focal chest and shoulder keloids in young caucasian patients. Controlling acne is the most important aspect of medical care for these patients. Each new acne spot may transform into a new keloid lesion.
Furthermore, the safety of the keloid treatments that are offered to these patients must be taken into consideration in the long term planning for these patients. Most keloid patients, especially those who present like this case, will need long term and ongoing treatments. Repeated treatments with our most basic methods, such as steroid injections may lead to significant side effects, as the drugs used to treat keloids do have a cumulative effect.
This patient was advised to be treated with very low dose steroid injections, but on a regular basis. Fortunately, her keloids responded well to this treatment and gradually improved. The images shown below show her gradual improvements over the years.