The Use of Corticosteroids to Treat Keloids: A Review
@article{Roques2008TheUO, title={The Use of Corticosteroids to Treat Keloids: A Review}, author={Claude Roques and Luc T{\'e}ot}, journal={The International Journal of Lower Extremity Wounds}, year={2008}, volume={7}, pages={137 - 145} }
Mechanisms for keloid formation include drastic changes in growth factor actions, collagen turnover, mechanical forces applied over the skin, and genetic and immunologic contributions. The use of corticosteroids to manage keloids increases basic fibroblast growth factor production while decreasing transforming growth factor-β1 production by human dermal fibroblasts, endogenous vascular endothelial growth factor, and insulin-like growth factor-1. The use of corticosteroid injections is, to date…
123 Citations
Interferon Therapy for Hypertrophic Scars and Keloids
- Biology, Medicine
- 2021
In this chapter, IFN mediated therapy for the treatment of scars and keloids, its benefits and limitations and the advantages of combinatorial therapy with the appropriate literature support are discussed.
Corticoids as a treatment to control complications arising after reconstructive surgery of the skin: a case report
- Medicine
- 2017
Successful use of topical administration of corticosteroids is reported to treat granulation tissue overgrowth before and after skin grafting in a 5-year-old male Belgian shepherd.
Keloids: Current Therapies in Barbados.
- Medicine
- 2016
The aim of this review is to explore and discuss the current literature of the various keloid treatment modalities typically used in Barbados along with keloids management.
Keloids: Current and emerging therapies
- MedicineScars, burns & healing
- 2020
The literature is explored and the general concepts surrounding keloid development are summarised and both current and emerging therapies are reviewed.
Triamcinolone acetonide intralesional injection for the treatment of keloid scars: patient selection and perspectives
- MedicineClinical, cosmetic and investigational dermatology
- 2018
TAC combined with verapamil was proved to be effective with statistically significant overall improvements of scars over time and long-term stable results, and further options such as needle-less intraepidermal drug delivery are being explored, but more studies are needed to establish safety, feasibility and effectiveness of this approach.
Biological approaches for hypertrophic scars
- MedicineInternational wound journal
- 2019
The progress in the molecular mechanism of HSs is summarized, the available biotherapeutic methods for their pathophysiological characteristics are reviewed, and it is prospected that the comprehensive therapy may be more suitable for HS treatment.
Keloid and Hypertrophic Scar Formation, Prevention, and Management: Standard Review of Abnormal Scarring in Orthopaedic Surgery.
- MedicineThe Journal of the American Academy of Orthopaedic Surgeons
- 2020
Future work is being done to better understand the pathophysiology leading to keloid and hypertrophic scar formation in an effort to find preventive methods as compared to treatment strategies.
Superior effect of combination vs. single steroid therapy in keloid disease: A comparative in vitro analysis of glucocorticoids
- Medicine, BiologyWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
- 2013
This is the first study to report the efficacy of three well‐known steroids on KF and suggest that combination may be superior than using a single steroid in treating KD.
The Use of Chemotherapeutics for the Treatment of Keloid Scars
- Medicine, BiologyDermatology reports
- 2015
Most of the literature supports the use of combination therapy (usually surgery and adjuvant chemotherapy) as the mainstay treatment of keloids, however further investigation is necessary to determine success rates over longer time frames.
References
SHOWING 1-10 OF 32 REFERENCES
Keloid Pathogenesis and Treatment
- MedicinePlastic and reconstructive surgery
- 2006
Combination therapy, using surgical excision followed by intradermal steroid or other adjuvant therapy, currently appears to be the most efficacious and safe current regimen for keloid management.
Ineffective Treatment of Keloids with Interferon Alpha-2b
- MedicinePlastic and reconstructive surgery
- 2006
Interferon does not appear to be effective in the clinical management of keloid management, and recurrence in either group did not correlate with location of the keloids or race.
Treatment of keloids and hypertrophic scars.
- MedicineIndian journal of dermatology, venereology and leprology
- 2005
There are no set guidelines for the treatment of keloids, so treatment has to be individualized depending upon the distribution, size, thickness, and consistency of the lesions and association of inflammation.
Keloids: pathophysiology and management.
- MedicineDermatology online journal
- 2007
This review highlights the clinical features, pathophysiology and management of keloids, and concludes that Combination therapy is likely the optimal strategy.
Are keloids really "gli-loids"?: High-level expression of gli-1 oncogene in keloids.
- MedicineJournal of the American Academy of Dermatology
- 2001
These results provide a rationale for the treatment of keloids with topical rapamycin analogs, including tacrolimus, and clinical trials of topical tacolimus are warranted.
Keloids demonstrate high-level epidermal expression of vascular endothelial growth factor.
- MedicineJournal of the American Academy of Dermatology
- 2004
Keloids and Hypertrophic Scars: Are They Two Different Sides of the Same Coin?
- MedicineDermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
- 2008
The aim of this review is to provide updated information regarding similarities and differences between keloids and hypertrophic scars as two different sides of the same coin to enable the dermatologist to better understand fundamental biology of the scarring.
Dexamethasone induction of keloid regression through effective suppression of VEGF expression and keloid fibroblast proliferation.
- Biology, MedicineThe Journal of investigative dermatology
- 2006
Modulation of VEGF production may comprise a valuable treatment modality for keloids after topical intra-lesional steroid injections suppress vascular endothelial growth factor (VEGF) expression in keloid tissue and induce its regression in vivo.
Nonsurgical Management of Hypertrophic Scars: Evidence-Based Therapies, Standard Practices, and Emerging Methods
- MedicineAesthetic Plastic Surgery
- 2006
This review explores the various treatment methods for hypertrophic scarring described in the literature including evidence-based therapies, standard practices, and emerging methods, attempting to distinguish those with clearly proven efficiency from anecdotal reports about therapies of doubtful benefits while trying to differentiate between prophylactic measures and actual treatment methods.
Keloid fibroblasts resist ceramide-induced apoptosis by overexpression of insulin-like growth factor I receptor.
- Medicine, BiologyThe Journal of investigative dermatology
- 2000
The results suggest that keloid fibroblasts overexpressing insulin-like growth factor I receptor are resistant to apoptosis, thus allowing persistent proliferation and production of excessive extracellular matrix.