Standard guidelines of care: Keloids and XXXX .

@entity1 @entity954 @entity130 @entity341 @entity1346 @entity2805 @entity230 @entity1487
Keloids and @entity2805 ( @entity2805 ) are the result of overgrowth of fibrous tissue, following healing of a @entity130 , and cause morbidity. There are several treatment modalities which are useful for the management of keloids, though no single modality is completely effective. The most commonly used modalities are pressure, @entity1346 gel sheet, intralesional @entity230 , @entity1487 (5 FU), cryotherapy, surgical excision, and lasers. They may be used either singly or, as is done more commonly, in combinations. Any qualified dermatologist who has attained postgraduate qualification in dermatology can treat keloids and @entity2805 . Some procedures, such as cryosurgery and surgical excision, may require additional training in dermatologic surgery. Most modalities for keloids, including intralesional injections and mechanical therapies such as pressure and @entity1346 gel based products, can be given/prescribed on OPD basis. @entity954 requires a minor operation theater with the facility to handle @entity341 . It is important to counsel the @entity1 about the nature of the problem. One should realize that keloid will only improve and not disappear completely. @entity1 should be informed about the high recurrence rates. Different modalities carry risk of adverse effects and complications and the treating physician needs to be aware of these and @entity1 should be informed about them.
