Keloids

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1.  Differentiate between a hypertrophic scar and a keloid.  How is a keloid different from a normal scar biochemically and histologically?

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2.  Does irradiation work for keloids?

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3.  How does one apply pressure to a keloid?  Does it work?

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4.  What solution of steroids should you inject into a keloid?  How many injections are needed?  Does it work?

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5.  What is the rational for treatment of keloids with:  BAPN, proline analogs, colchicine, penicillamine, antihistamines, tetrahydroquinone, retin A, zinc oxide?

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6.  Does silicone sheeting help with keloids?

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7.  Does surgical excision cure keloids?  What are the indications for operation?

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8.  Do lasers help keloids?

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