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January 3, 1972

Treatment of the Chest Keloid

JAMA. 1972;219(1):88. doi:10.1001/jama.1972.03190270058025

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To the Editor.—  Will you accept a belated comment on a LETTER of Oct 19, 1970 (214:600, 1970)? It is recently pointed out to me by a colleague that no therapy was advocated for "The Chest Keloid." It has been my experience as well as that of most other dermatologists that the chest keloid is amenable to the same therapy as other keloids, namely, intralesional steroid therapy and freezing with dry ice. Either of these methods is successful in a large number of keloids, or both may be used together. In my experience, intralesional steroids are almost invariably successful in flattening a keloid. I would certainly agree that surgery should not be done except in most exceptional cases for the alleviation of the vast majority of keloids. However, to leave the reader with the impression that the chest keloid cannot be treated is the exact opposite of the present