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Article
July 1995

Symptomatic Keloids in Two ChildrenDramatic Improvement With Silicone Cream Occlusive Dressing

Author Affiliations

National Taiwan University Hospital, Taipei

Arch Dermatol. 1995;131(7):775-777. doi:10.1001/archderm.1995.01690190027004
Abstract

REPORT OF CASES 

CASE 1  An 11-year-old Chinese girl presented with a gradually enlarging keloid on her left knee (Figure 1, top) subsequent to a traffic accident 7 months earlier. She complained of severe persistent itching and occasional shooting pain that bothered her during the day and while sleeping. She was unwilling to undergo invasive therapy, such as intralesional injection of triamcinolone (Kenacort). After using a silicone gel sheet for 12 hours (during the night) for 2 days, contact dermatitis developed, which forced her to discontinue this therapy.On examination, a serpiginous reddish fibrous scar with prominent scratching marks and erosions was noted on her left knee. The lesion was elevated 2.5 mm above the surrounding normal skin.

CASE 2  A huge enlarging keloid developed on the dorsal aspect of a 3-year-old girl's right foot and ankle after a traffic accident 12 months earlier (Figure 2, top). The keloid measured

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