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Keloids. Presented by Charles F. Post, MD.
History.—The patient is a six-year-old boy who was burned by a gunpowder explosion on June 19, 1962. All areas healed by about Sept 1. He was referred by his family physician for consultation and treatment.
Plastic surgery consultation has also been obtained. The plastic surgeon recommended continuation of dermatologic therapy with observation.
Examination.—Examination reveals keloidal scarring of the left ear, forehead, both cheeks, inframandibular and parotid areas, shoulders, arms, and sides of abdomen.
Course and Treatment.—Since August, 1962, the patient has had all lesions painted with thorium X on 13 occasions (every three weeks). The nodular lesion of the left cheek has been injected with 1.0 ml dilute triamcinolone suspension on three occasions. The latter area shows greater improvement than a corresponding lesion of the right cheek that has been painted with thorium X only.
The patient is presented for