Keloid disease: clinical relevance of single versus multiple site scars

Much of our current understanding of keloid disease (KD) is based on anecdote rather than objective observation and statistical analysis. To elucidate further the aetiology of KD, we compared the profiles of patients with single versus multiple anatomical site keloid scars. We studied the clinical c...

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Bibliographic Details
Published in:British journal of plastic surgery 2005, Vol.58 (1), p.28-37
Main Authors: Bayat, A., Arscott, G., Ollier, W.E.R., Mc Grouther, D.A., Ferguson, M.W.J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Age of Onset
Aged
Aged, 80 and over
Anatomical site-specific scars
Biological and medical sciences
Child
Child, Preschool
Dermatology
Family Health
Family history
Female
Heterogeneity
Humans
Keloid - etiology
Keloid - pathology
Keloid disease
Male
Medical sciences
Middle Aged
Multiple site scars
Sex Factors
Single site scars
Skin involvement in other diseases. Miscellaneous. General aspects
Skin scarring
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Much of our current understanding of keloid disease (KD) is based on anecdote rather than objective observation and statistical analysis. To elucidate further the aetiology of KD, we compared the profiles of patients with single versus multiple anatomical site keloid scars. We studied the clinical characteristics of 211 cases of keloid scarring, 137 (65%) females and 74 (35%) males. There were 122 cases with scars in single anatomical site and 89 cases with 369 scars in multiple anatomical sites entered into the study. Patients were of Afrocaribbean origin that presented to the department of Plastic and Reconstructive Surgery at the University of West Indies in Kingston, Jamaica. A total number of 491 keloid scars (single and multiple sites) were evaluated in the study. Data were collected on multiple parameters. The association of age of onset, anatomical area, cause of scarring, sex of the patient, presence or absence of family and medical history in patients with single as opposed to multiple site keloid scars were examined in detail and statistically evaluated. The formation of keloid scars in multiple anatomical sites was found to be statistically significant in that it was more common in younger age groups ( p
ISSN:0007-1226
1465-3087
DOI:10.1016/j.bjps.2004.04.024