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  • Keloids and hypertrophic scars present as plaques and nodules in areas of prior trauma.

  • Keloids are more common in skin of color. They can be very disfiguring, symptomatic, and have profound effects on quality of life.

  • Both scar types differ in color, with varying colors of pink to red in lighter skin and skin colored to violaceous or dark brown in darker skin.



FIGURE 28-1.

Skin-colored to dark-brown nodule on the posterior earlobe secondary to piercing. (Reproduced with permission from Avram MR, Avram MM, Ratner D. Procedural Dermatology. New York, NY: McGraw Hill; 2015, Figure 23-35.)

FIGURE 28-2.

Pink exophytic nodule on the posterior earlobe secondary to a piercing. (From Usatine RP, Smith MA, Mayeaux EJ Jr, et al. The Color Atlas and Synopsis of Family Medicine, 3rd ed. New York, NY: McGraw Hill; 2019, Figure 213-2. Reproduced with permission from Richard P. Usatine, MD.)

FIGURE 28-3.

Dark-brown linear papules and plaques on the anterior trunk of a Black man secondary to abdominal surgery. (Reproduced with permission from Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 33-16.)

FIGURE 28-4.

Pink papules and linear pink plaques on the chest of a person with light skin secondary to acne fulminans. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 80-3D.)


FIGURE 28-5.

Pink linear plaque on the upper extremity secondary to a laceration. (Reproduced with permission from Soutor C, Hordinsky MK. Clinical Dermatology. New York, NY: McGraw Hill; 2013, Figure 16-9.)

FIGURE 28-6.

Multiple linear violaceous plaques on the dorsal hand of a Black person. (Reproduced with permission from Alam M, Bhatia AC, Kundu RV, et al. Cosmetic Dermatology for Skin of Color. New York, NY: McGraw Hill; 2009, Figure 13-2.)

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