RT Book, Section A1 Mayeaux, Jr., E.J. A1 Bucher, Jacqueline A1 Tracy, Alexis Rae A1 Usatine, Richard P. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164348994 T1 Keloids T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK dermatology.mhmedical.com/content.aspx?aid=1164348994 RD 2024/03/28 AB A 64-year-old black woman presents to the office with itching keloids on her chest (Figure 213-1). The horizontal keloid started during childhood when she was scratched by a branch of a tree. The vertical keloid is the result of bypass surgery 1 year ago. The lower portion of this area could be called a hypertrophic scar, as it does not advance beyond the borders of the original surgery. The patient was happy to receive intralesional steroids to decrease her symptoms. Intralesional triamcinolone did, in fact, decrease the itching and flatten the vertical keloid.