A scar may undergo hypertrophy which remains localized and after a time slowly regresses; if the condition spreads progressively it is known as Keloid.
A keloid is a firm, smooth, pink, raised, patch from which extend claw like processes, and it may cover a considerable area. The name keloid, or cheloid, comes from Greek word meaning claw. It consists of very dense collagen, the bundles of which run parallel with the surface.
It tends to recur when removed.
There seems to be two causes one systemic other local.
A systemic influence or individual sensitivity appears to be prerequisite. This may be familial or racial. Coloured races are particularly liable to develop keloids.
Local factors are more difficult to assess. Mainly, the foreign body reaction is usually absent in a keloid, whereas it is present in keloid.
The differentiation of keloid from hypertrophic scar is important. Fibroblasts are few in keloid, but relatively numerous in scar. The considerable amount of pain present distinguishes it from an ordinary scar.
Keloids may follow burns and operations, and after small-pox, syphilis, tattooing with dyes containing sulphide of mercury.
Graphites: Useful when there are deep cracks in keloids.
Silicea: Helps in dissolving the scar tissue.
Causticum: Keloids due to injury or burns.
|GRAPHITES 30C - 400 Pellets (4dm)||1021052||8907460210524|
|SILICEA CM - 400 Pellets (4dm)||1040492||8907460404923|
|CAUSTICUM 30C - 400 Pellets (4dm)||1011852||8907460118523|