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Toe keloid after nail extraction treated with surgical excision: A case report

RATIONALE: In this study, a case of toe keloid after nail extraction is presented, in which the keloids on both toes were resected by surgical excision. Keloids (from the Greek word meaning “crab's claw”) are fibrous growths that extend beyond the original area of injury to involve the adjacent...

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Autores principales: Liu, Hao, Song, Kexin, Zhang, Mingzi, Dong, Xinhang, Liu, Shu, Wang, Youbin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758236/
https://www.ncbi.nlm.nih.gov/pubmed/29390534
http://dx.doi.org/10.1097/MD.0000000000009373
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author Liu, Hao
Song, Kexin
Zhang, Mingzi
Dong, Xinhang
Liu, Shu
Wang, Youbin
author_facet Liu, Hao
Song, Kexin
Zhang, Mingzi
Dong, Xinhang
Liu, Shu
Wang, Youbin
author_sort Liu, Hao
collection PubMed
description RATIONALE: In this study, a case of toe keloid after nail extraction is presented, in which the keloids on both toes were resected by surgical excision. Keloids (from the Greek word meaning “crab's claw”) are fibrous growths that extend beyond the original area of injury to involve the adjacent normal skin. In general, keloid tendencies appear to be regionally isolated to keloid-prone areas, such as the chest, ears, and deltoid regions, whereas the hands and feet are usually spared, which is why this case is meaningful. PATIENT CONCERNS: A 20-year-old Chinese man had paronychia on both halluxes when he was 16 years old. He underwent a nail extraction at the age of 17. The nails of both halluxes were removed by nail extraction. This operation was successful, and the postoperative course was uneventful. After 6 months, the scars of the nail extraction on both sides began to exhibit hyperplasia and became red and swollen with itching. Later, the scar expanded and eroded the tissue beyond the matrix unguis. The whole matrix unguis was destroyed, and the nails were distorted. The scars began to ulcerate after 2 years. The patient used potassium permanganate to clean his wounds, but the keloid scars did not improve. DIAGNOSES: The patient was diagnosed as toe keloid based on his history and symptoms. The biopsy result supported our diagnoses. INTERVENTIONS: The toe keloids were effectively cured by surgical excision and skin flap transplantation combined with postoperative irradiation and hyperbaric oxygen (HBO) treatment. OUTCOMES: No recurrence was detected during the period from 6 to 24 months of follow-up after the surgery. LESSONS: In this case, the trauma of the nail extraction was likely the key cause of the keloid. However, the patient was also predisposed to keloids, as we observed keloids on his chest. In general, keloid tendencies appear to be regionally isolated to keloid-prone areas such as the chest, ears, and deltoid regions, whereas the hands and feet are usually spared, which is why this case is meaningful.
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spelling pubmed-57582362018-01-29 Toe keloid after nail extraction treated with surgical excision: A case report Liu, Hao Song, Kexin Zhang, Mingzi Dong, Xinhang Liu, Shu Wang, Youbin Medicine (Baltimore) 7100 RATIONALE: In this study, a case of toe keloid after nail extraction is presented, in which the keloids on both toes were resected by surgical excision. Keloids (from the Greek word meaning “crab's claw”) are fibrous growths that extend beyond the original area of injury to involve the adjacent normal skin. In general, keloid tendencies appear to be regionally isolated to keloid-prone areas, such as the chest, ears, and deltoid regions, whereas the hands and feet are usually spared, which is why this case is meaningful. PATIENT CONCERNS: A 20-year-old Chinese man had paronychia on both halluxes when he was 16 years old. He underwent a nail extraction at the age of 17. The nails of both halluxes were removed by nail extraction. This operation was successful, and the postoperative course was uneventful. After 6 months, the scars of the nail extraction on both sides began to exhibit hyperplasia and became red and swollen with itching. Later, the scar expanded and eroded the tissue beyond the matrix unguis. The whole matrix unguis was destroyed, and the nails were distorted. The scars began to ulcerate after 2 years. The patient used potassium permanganate to clean his wounds, but the keloid scars did not improve. DIAGNOSES: The patient was diagnosed as toe keloid based on his history and symptoms. The biopsy result supported our diagnoses. INTERVENTIONS: The toe keloids were effectively cured by surgical excision and skin flap transplantation combined with postoperative irradiation and hyperbaric oxygen (HBO) treatment. OUTCOMES: No recurrence was detected during the period from 6 to 24 months of follow-up after the surgery. LESSONS: In this case, the trauma of the nail extraction was likely the key cause of the keloid. However, the patient was also predisposed to keloids, as we observed keloids on his chest. In general, keloid tendencies appear to be regionally isolated to keloid-prone areas such as the chest, ears, and deltoid regions, whereas the hands and feet are usually spared, which is why this case is meaningful. Wolters Kluwer Health 2017-12-22 /pmc/articles/PMC5758236/ /pubmed/29390534 http://dx.doi.org/10.1097/MD.0000000000009373 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0
spellingShingle 7100
Liu, Hao
Song, Kexin
Zhang, Mingzi
Dong, Xinhang
Liu, Shu
Wang, Youbin
Toe keloid after nail extraction treated with surgical excision: A case report
title Toe keloid after nail extraction treated with surgical excision: A case report
title_full Toe keloid after nail extraction treated with surgical excision: A case report
title_fullStr Toe keloid after nail extraction treated with surgical excision: A case report
title_full_unstemmed Toe keloid after nail extraction treated with surgical excision: A case report
title_short Toe keloid after nail extraction treated with surgical excision: A case report
title_sort toe keloid after nail extraction treated with surgical excision: a case report
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758236/
https://www.ncbi.nlm.nih.gov/pubmed/29390534
http://dx.doi.org/10.1097/MD.0000000000009373
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