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.
Treatment Options for Giant Keloid on Childs Back
Doctor Answers (2)
Giant burn scar
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.
Very Difficult Problem
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.
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