Nigerian Journal of Clinical Practice

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 22  |  Issue : 8  |  Page : 1049--1054

Demographic and clinical characteristics of keloids in an urban center in Sub-Sahara Africa


O Belie, AO Ugburo, BO Mofikoya 
 Plastic Surgery Unit, Department of Surgery, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria

Correspondence Address:
Dr. O Belie
Plastic Surgery Unit, Department of Surgery, Lagos University Teaching Hospital, IDI-Araba, Lagos State
Nigeria

Background: Keloid is a major complication of wound healing. The clinical spectrum ranges from unaesthetic lesions minimally invading the adjacent skin to large grotesque lesions sometimes associated with contractures. Subjects and Methods: The patients were seen over 2 years in a tertiary hospital setting. The following information was obtained with a proforma: the biodata, etiology of keloid, region affected, symptoms, and treatment prior to presentation. The keloids were examined and the sizes were grouped into small, medium, and large keloids; the severities of symptoms were determined using the visual analog scale. Results: 159 patients with 224 keloids were seen over 2-year period with male-to-female ratio of 1:1.24. The most common causes of keloid were trauma and acne (27.0% and 20.1%, respectively). The trunk had a statistically significant higher number of symptomatic keloid compared with other regions keloids. The larger keloids were more symptomatic compared with the smaller ones, P = 0.000. There were more pruritic keloids than painful ones. About 25% of patients had positive family history in first-degree relative, 16% in second-degree relative, and their keloid are more symptomatic than those without family history. Conclusion: In view of the burden of keloids, early treatment is advised. Unnecessary trauma and extra piercing should be avoided; elective surgeries that are deferrable should be postponed until when necessary.


How to cite this article:
Belie O, Ugburo A O, Mofikoya B O. Demographic and clinical characteristics of keloids in an urban center in Sub-Sahara Africa.Niger J Clin Pract 2019;22:1049-1054


How to cite this URL:
Belie O, Ugburo A O, Mofikoya B O. Demographic and clinical characteristics of keloids in an urban center in Sub-Sahara Africa. Niger J Clin Pract [serial online] 2019 [cited 2020 Sep 20 ];22:1049-1054
Available from: http://www.njcponline.com/article.asp?issn=1119-3077;year=2019;volume=22;issue=8;spage=1049;epage=1054;aulast=Belie;type=0