PMC6830255_01
Initial presentation of keloid before any treatment. The scar is seen to extend beyond the original circumcision site up to and almost occluding the glans.
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African origin underwent a religious circumcision at the age of 8 months. Around 7 months later he was referred to the paediatric surgery team by the GP with keloid scarring of the penile skin (Figure 1).
Appearance following the three injections of triamcinolone (one each month for 3 months).
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Each time the keloid was injected with 6.5 mg triamcinolone circumferentially, and this significantly shrunk the lesion allowing surgical excision (Figure 2).
Appearance at 3 months after excision of the keloid.
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The patient was discharged home on the same day and followed-up at 2 and 6 months in clinic with no recurrence and a satisfactory aesthetic result (Figure 3).