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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