Where two keloids meet: Invasive confluent growth of chest keloids, a case report
Grace C. Limandjaja,
Rosemarijn E. van Meijeren-Hoogendoorn,
Juliette M.I.M. Louter,
Antoine J.M. van Trier,
Frank B. Niessen,
Albert Wolkerstorfer,
Susan Gibbs,
Paul P.M. van Zuijlen
Affiliations
Grace C. Limandjaja
Department of Rehabilitation Medicine, Amsterdam University Medical Centre, location VUmc, Amsterdam, the Netherlands
Rosemarijn E. van Meijeren-Hoogendoorn
Dutch Burn Centre Beverwijk, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic and Reconstructive Surgery, Red Cross Hospital, Beverwijk, the Netherlands
Juliette M.I.M. Louter
Department of Plastic Reconstructive and Hand Surgery, Amsterdam Movement Sciences (AMS) Institute, Amsterdam University Medical Centre, Location VUmc, Amsterdam, the Netherlands
Antoine J.M. van Trier
Dutch Burn Centre Beverwijk, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic and Reconstructive Surgery, Red Cross Hospital, Beverwijk, the Netherlands
Frank B. Niessen
Department of Plastic Reconstructive and Hand Surgery, Amsterdam Movement Sciences (AMS) Institute, Amsterdam University Medical Centre, Location VUmc, Amsterdam, the Netherlands; Mittsu Institute, Amsterdam, the Netherlands
Albert Wolkerstorfer
Department of Dermatology, Amsterdam University Medical Centre, Location AMC, Amsterdam, the Netherlands
Susan Gibbs
Department of Molecular Cell Biology and Immunology, Amsterdam University Medical Centre, Amsterdam Infection and Immunity Institute, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Department of Oral Cell Biology, Academic Centre for Dentistry (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
Paul P.M. van Zuijlen
Dutch Burn Centre Beverwijk, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic and Reconstructive Surgery, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic Reconstructive and Hand Surgery, Amsterdam Movement Sciences (AMS) Institute, Amsterdam University Medical Centre, Location VUmc, Amsterdam, the Netherlands; Paediatric Surgical Centre, Emma Children’s Hospital, Amsterdam University Medical Centre, location AMC, Amsterdam, the Netherlands; Corresponding author at: Department of Plastic and Reconstructive Surgery, Red Cross Hospital, Vondellaan 13, 1942 LE Beverwijk, the Netherlands.
Keloids are differentiated from hypertrophic scars by their invasive lateral growth vs. the expansive growth of hypertrophic scars. This case report demonstrates the dynamic nature of keloids and the importance of clinical follow-up on its natural progression over time, especially when differentiation from hypertrophic scars is difficult. Serial photographic documentation is an invaluable aid for follow-up evaluation.
