This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 10. Dermatologic Disorders Chapter 125. A smooth overgrowth of fibroblastic tissue that arises in an area of injury or, occasionally, spontaneously. Keloids are more frequent in blacks. They tend to appear on the upper back and chest and on deltoid areas, where they may result from severe acne.
Keloids are shiny, hard, smooth, often dome-shaped, and slightly pink.
Surgical or laser excision may be followed by intralesional injection with a corticosteroid to try to prevent recurrence. Silastic gel sheeting is another treatment option. All rights reserved.