Biology and behavior of keloids vary, not only from patient to patient but often from keloid to keloid in the same individual. Some keloids are totally asymptomatic; they don’t hurt, they don’t itch, and they don’t cause any problems. On the other hand, there are keloids that are either painful, or they itch (or both).
There is a subset of flat keloids that are inherently very painful. These keloids are often located in the mid-line of the chest. They are very tender to touch, and they ache and hurt all day long. For these patients, pain is the most troubling symptom. Term Hyper-Inflammatory keloid applies to this subset of keloids.This condition is often seen in patients who have undergone prior keloid removal surgery.
Management of Hyper-Inflammatory keloids is quite challenging. Pain control is the cornerstone of managing these patients and can only be achieved by controlling the underlying keloid process.
In this video, you can listen to the interview that Dr. Tirgan conducted with the patient whose chest keloids are depicted in photograph above. This young genteman story is quite educational. Pay attention to the history of his struggles with chest keloid and his experience with pain.