Keloid : Clinical Features
Clinical Features (continued from the previous image): They appear as raised, round/oval/linear, well-circumscribed, skin-covered nodules with extensions into the surrounding areas. They are soft and erythematous in earlier stages (shown here) and become firm and pale over time. Most lesions are asymptomatic; however, some are tender, painful, or itchy. Unlike hypertrophic scars, they do not flatten out over time. Sites: Keloids form more commonly in the upper part of the body, including head and neck region (especially around ear; earlobe is one of the commonest locations), face, shoulders, and forearms. Sites such as hands and feet and around genitalia are rarely affected. Presternal region normally has greater skin tension and spontaneous keloids often form here after minor trauma or infections.