Title |
Keloid |
Creator |
Bezzant, John L. |
Contributor |
John L. Bezzant, MD, Clinical Professor, Department of Dermatology, University of Utah School of Medicine |
Publisher |
Knowledge Weavers Project, Spencer S. Eccles Health Sciences Library, University of Utah |
Date |
1997-01-01 |
Description |
Once the keloid is anesthetized, the corticosteroid should be injected directly into the middle of the keloid until the keloid blanches. I find it easiest to advancethe needle to the tip of the keloid, and then as I withdraw the needle I inject into the canal that I have created with the needle. I do not try to achieve blanching to the edge of the keloid as this runs the risk of the steroid diffusing into the surrounding normal skin and inducing a rim or atrophy around the keloid. The nearer the keloid the more responsive it is to steroid injections. Generally, I start with Kenalog, 20 mg/cc, and inject the keloid approximately every three to four weeks. If the keloid is shrinking, I continue to use the same strength. If it is not responding, I increase the concentration by 10 mg/cc with each injection until I use a maximum of 40 mg/cc. |
Subtype |
Image |
Format |
image/jpeg |
Rights |
http://creativecommons.org/licenses/by-nc-sa/1.0/ |
Collection |
Knowledge Weavers Dermatology |
ARK |
ark:/87278/s6rr4z3c |
Setname |
ehsl_heal |
ID |
870141 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6rr4z3c |