In genetically prone individuals, keloid disorder may present itself with formation of keloid lesions in the pubic area. Ingrown hair and lower abdominal surgery are the two most important triggering factors for development of pubic keloids. These keloids are more common among African American women and somewhat less common in men.
The clinical presentation of pubic keloids is somewhat variable. As depicted in the following images, pubic keloids always start as a small papule that can grow over time. Among Asian/Caucasian women, pubic keloids usually remain small and very limited in number. Among African/African American women, however, the primary pubic keloids can become tumoral and expand in size. The worse cases of pubic keloids are seen in women who undergone keloid removal surgery.