Keloids are benign skin tumor, they can be disabling. We report a case of a 41-year-old-man who suffered for multiple keloids and was treated successfully with surgery and brachytherapy.

Keloids are benign skin tumors that can be spontaneous or post-injury. They can be multiple and sometimes very disabling, realizing keloid disease. We report a case of keloid disease to describe the clinical particularities and show the difficulties of therapies.

A 41-year-old man consulted for multiple skin tumors pruriginous, evolving since childhood and secondary to vaccinations, folliculitis, scratch lesions, and scarred wounds. There was no similar family history. The clinical examination noted multiple keloids, 4 to 9 cm in diameter on the trunk, in particular on the chest, on the shoulders and arms, in closets on the legs, with a large keloid at the level of the neck from 16 to 18 cm. The rest of the exam was unremarkable. The patient was treated symptomatically for small lesions and endocheloid surgery followed by brachytherapy for the nuchal keloid. The outcome was good. (Figure 1-3)

Figure 1 Keloid scar on keloid folliculitis of the neck.

Figure 2 Result after two years: surgery and brachytherapy.

Figure 3 Multiple keloids on the chest.

Keloids are debilitating skin lesions.¹ with significant aesthetic, physical impact, and psychological and social repercussions. The etiopathogenesis is unclear,² three theories are often discussed to explain physiopathogenesis: the theory of mechanical or neurogenic, the theory of genetics, and the cell theory. The epidemiology is very variable with a high incidence in subjects of phototype IV-VI.

Management of keloid disease is difficult³ and often includes invasive and non-invasive approaches. At present, there is no satisfactory method or real consensus. It is more and more a therapeutic combination to reduce the rate of recurrences.

None.

Authors declare there is no conflict of interest.

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