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Treatment Options for Giant Keloid on Childs Back

child had an untreated burn approx 1 yr ago. keloid is 12 x 25 cms. causes constant itching. child is 34" tall, weighs 25 lbs.

Doctor Answers (2)

Giant burn scar

+1

This inflamed burn scar can be treated without radiation. Regimented pulsed dye laser and IIT for 12 to 24 months will improve the scar considerably.  I am very optimistic about this child's future.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 43 reviews

Very Difficult Problem

+1

This is a very difficult problem.   Radiation may be a viable option, and I would ask your dermatologist or plastic surgeon about that.  For smaller keloids, intralesional steroids can be used to flatten them out and help with the itching.  For a keloid of this size and in a child, it is proably not the easiest option.  Perhaps treating the areas that itch the most with some intralesional steroids.  I would be very cautious if any practioner recommends excision, as you may find yourself dealing with a larger keloid.  I would also consider going to a tertiary care facility (local medical school), as they may have better resources to help you with this. 

Frisco Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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