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Keloid formation(KLDF)

MedGen UID:
460844
Concept ID:
C3149494
Finding
Synonyms: KELOID FORMATION; KLDF
 
Monarch Initiative: MONDO:0007847
OMIM®: 148100

Definition

Keloid is a dermal fibroproliferative growth caused by pathologic wound healing following skin injury. Keloid is defined as a scar growing continuously and invasively beyond the confines of the original wound and is characterized by excessive fibroblast proliferation and deposition of extracellular matrix and collagen fibers. Local tissue factors, especially wound tension or infection, and endocrine factors are known to be involved in keloid formation. However, the fact that the incidence of keloid is higher in darker-skinned individuals suggests that genetic factors also play an important role (summary by Nakashima et al., 2010). [from OMIM]

Clinical features

From HPO
Keloid
MedGen UID:
7197
Concept ID:
C0022548
Acquired Abnormality
An irregularly shaped, elevated mark on the skin caused by deposits of excessive amounts of collagen during wound healing. It extends beyond the original boundaries of the wound and may enlarge progressively.
  • Abnormality of the musculoskeletal system

Professional guidelines

PubMed

Andrews JP, Marttala J, Macarak E, Rosenbloom J, Uitto J
Matrix Biol 2016 Apr;51:37-46. Epub 2016 Feb 2 doi: 10.1016/j.matbio.2016.01.013. PMID: 26844756Free PMC Article
Sidle DM, Kim H
Facial Plast Surg Clin North Am 2011 Aug;19(3):505-15. doi: 10.1016/j.fsc.2011.06.005. PMID: 21856538
Gauglitz GG, Korting HC, Pavicic T, Ruzicka T, Jeschke MG
Mol Med 2011 Jan-Feb;17(1-2):113-25. Epub 2010 Oct 5 doi: 10.2119/molmed.2009.00153. PMID: 20927486Free PMC Article

Recent clinical studies

Etiology

Li Z, Zhang C, Zhang Q, Dong Y, Sha X, Jiang M, Yan J, Wang W, Li H, Zhang Y, Zhou YL
Eur J Med Res 2023 Nov 2;28(1):476. doi: 10.1186/s40001-023-01421-y. PMID: 37915086Free PMC Article
Xu H, Zhu Z, Hu J, Sun J, Wo Y, Wang X, Zou H, Li B, Zhang Y
Cell Mol Immunol 2022 Apr;19(4):527-539. Epub 2022 Jan 17 doi: 10.1038/s41423-021-00834-1. PMID: 35039632Free PMC Article
Macarak EJ, Wermuth PJ, Rosenbloom J, Uitto J
Exp Dermatol 2021 Jan;30(1):132-145. Epub 2020 Dec 20 doi: 10.1111/exd.14243. PMID: 33211348
Heppt MV, Kirchberger MC, Ruzicka T, Berking C, Heppt WJ
Facial Plast Surg 2018 Feb;34(1):75-81. Epub 2018 Feb 6 doi: 10.1055/s-0037-1617446. PMID: 29409107
Wang MZ, Warshaw EM
Dermatitis 2012 Nov-Dec;23(6):281-3. doi: 10.1097/DER.0b013e318273a4dd. PMID: 23169210

Diagnosis

Li Z, Zhang C, Zhang Q, Dong Y, Sha X, Jiang M, Yan J, Wang W, Li H, Zhang Y, Zhou YL
Eur J Med Res 2023 Nov 2;28(1):476. doi: 10.1186/s40001-023-01421-y. PMID: 37915086Free PMC Article
Xu H, Zhu Z, Hu J, Sun J, Wo Y, Wang X, Zou H, Li B, Zhang Y
Cell Mol Immunol 2022 Apr;19(4):527-539. Epub 2022 Jan 17 doi: 10.1038/s41423-021-00834-1. PMID: 35039632Free PMC Article
Heppt MV, Kirchberger MC, Ruzicka T, Berking C, Heppt WJ
Facial Plast Surg 2018 Feb;34(1):75-81. Epub 2018 Feb 6 doi: 10.1055/s-0037-1617446. PMID: 29409107
He Y, Deng Z, Alghamdi M, Lu L, Fear MW, He L
Cell Prolif 2017 Apr;50(2) Epub 2017 Jan 5 doi: 10.1111/cpr.12326. PMID: 28054407Free PMC Article
Vezeridis PS, Goel DP, Shah AA, Sung SY, Warner JJ
Sports Med Arthrosc Rev 2010 Sep;18(3):198-206. doi: 10.1097/JSA.0b013e3181ec84a5. PMID: 20711052

Therapy

Andrews JP, Marttala J, Macarak E, Rosenbloom J, Uitto J
Matrix Biol 2016 Apr;51:37-46. Epub 2016 Feb 2 doi: 10.1016/j.matbio.2016.01.013. PMID: 26844756Free PMC Article
Wang MZ, Warshaw EM
Dermatitis 2012 Nov-Dec;23(6):281-3. doi: 10.1097/DER.0b013e318273a4dd. PMID: 23169210
Sidle DM, Kim H
Facial Plast Surg Clin North Am 2011 Aug;19(3):505-15. doi: 10.1016/j.fsc.2011.06.005. PMID: 21856538
Al-Attar A, Mess S, Thomassen JM, Kauffman CL, Davison SP
Plast Reconstr Surg 2006 Jan;117(1):286-300. doi: 10.1097/01.prs.0000195073.73580.46. PMID: 16404281
Meltzer DI
Am Fam Physician 2005 Nov 15;72(10):2029-34. PMID: 16342832

Prognosis

Liu S, Yang H, Song J, Zhang Y, Abualhssain ATH, Yang B
Exp Dermatol 2022 Nov;31(11):1665-1675. Epub 2022 Sep 11 doi: 10.1111/exd.14671. PMID: 36052657
Hermenean A, Oatis D, Herman H, Ciceu A, D'Amico G, Trotta MC
Int J Mol Sci 2022 May 16;23(10) doi: 10.3390/ijms23105548. PMID: 35628357Free PMC Article
Xu H, Zhu Z, Hu J, Sun J, Wo Y, Wang X, Zou H, Li B, Zhang Y
Cell Mol Immunol 2022 Apr;19(4):527-539. Epub 2022 Jan 17 doi: 10.1038/s41423-021-00834-1. PMID: 35039632Free PMC Article
He Y, Deng Z, Alghamdi M, Lu L, Fear MW, He L
Cell Prolif 2017 Apr;50(2) Epub 2017 Jan 5 doi: 10.1111/cpr.12326. PMID: 28054407Free PMC Article
Viera MH, Caperton CV, Berman B
J Drugs Dermatol 2011 May;10(5):468-80. PMID: 21533292

Clinical prediction guides

Zhang J, Bao Q, Song N, Li C, Ma J
Aging (Albany NY) 2023 Nov 21;15(22):12998-13009. doi: 10.18632/aging.205215. PMID: 37993257Free PMC Article
Li Z, Zhang C, Zhang Q, Dong Y, Sha X, Jiang M, Yan J, Wang W, Li H, Zhang Y, Zhou YL
Eur J Med Res 2023 Nov 2;28(1):476. doi: 10.1186/s40001-023-01421-y. PMID: 37915086Free PMC Article
Garg SP, Williams T, Taritsa IC, Wan R, Goel C, Harris R, Huffman K, Galiano RD
Wound Repair Regen 2023 Nov-Dec;31(6):731-737. Epub 2023 Oct 15 doi: 10.1111/wrr.13120. PMID: 37768279
Hahn JM, Combs KA, Powell HM, Supp DM
Wound Repair Regen 2023 Sep-Oct;31(5):563-575. Epub 2023 Jul 27 doi: 10.1111/wrr.13109. PMID: 37458255
Xu H, Zhu Z, Hu J, Sun J, Wo Y, Wang X, Zou H, Li B, Zhang Y
Cell Mol Immunol 2022 Apr;19(4):527-539. Epub 2022 Jan 17 doi: 10.1038/s41423-021-00834-1. PMID: 35039632Free PMC Article

Recent systematic reviews

James AJ, Torres-Guzman RA, Chaker SC, Sigel ME, Perdikis G, Supp DM, Dale Slater EL
Wound Repair Regen 2024 Sep-Oct;32(5):746-757. Epub 2024 Jul 3 doi: 10.1111/wrr.13203. PMID: 38958095
Garg SP, Williams T, Taritsa IC, Wan R, Goel C, Harris R, Huffman K, Galiano RD
Wound Repair Regen 2023 Nov-Dec;31(6):731-737. Epub 2023 Oct 15 doi: 10.1111/wrr.13120. PMID: 37768279
Anderson L, Vankawala J, Gupta N, Dorfman R, Pflibsen L, Vardanian A, Delong M
Aesthet Surg J 2023 Jul 15;43(8):820-829. doi: 10.1093/asj/sjad034. PMID: 36797842
Shin JY, Lee JW, Roh SG, Lee NH, Yang KM
Plast Reconstr Surg 2016 Jun;137(6):1718-1725. doi: 10.1097/PRS.0000000000002165. PMID: 27219228
Shin JY, Kim JS
J Oral Maxillofac Surg 2016 May;74(5):1055-60. Epub 2015 Oct 22 doi: 10.1016/j.joms.2015.10.002. PMID: 26529198

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