Brief Answer: Kindly send details with high resolution pictures Detailed Answer: Hi, Welcome and thanks for posting your query to the forum. I can understand your concern for Keloid in your brother. To guide you best I need certain important points so that the best measures can be suggested. Kindly elaborate the concern in terms of: - Since how long the problem of keloid is present in your brother. - what is the site of keloid- is it on chest or face or shoulder. - How it appeared- was there any boil or any surgery where it appeared or was it de novo in its appearance without any cause. - Is it increasing in size or stagnant since its appearance. - Any family history of keloids in other member of family. It would be best to send few good resolution pictures of the Keloid area so that it can be analyzed best. You have a feature to upload images by yourself at the right side of the query page, please utilize that so that I can answer your queries better. Or else, you can send as an attachment to YYYY@YYYY with the subject as "Attn: Dr. Sanjay Kumar Kanodia). "Wish you good health" with regards, Dr. Sanjay Kumar Kanodia (MD - Dermatology)

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Brief Answer: best treated by triamcinolone injections Detailed Answer: Hi, Thanks for posting necessary details. To tell you simply about keloids- In normal healing the tissue proliferates in a controlled systemic manner but in keloids there is proliferation of tissue in the skin in haphazard manner. It is most common on chest ( as in your brother). Keloids are most common in dark skin person (Africans-Asians), more tendency is present in people with family history of Keloids or wound infections or poor wound healing. In your brother as the keloid is growing so the main course of therapy in this condition is by injection of steroid. Keloids are best treated by triamcinolone injections in proper dose and strength. I suggest you to meet a proper dermatologist who can judge the exact concentration of the triamcinolone injections to be given to your keloid area. After the injection you will see the result in next 2-3 weeks as halting of growth of keloid as well flattening in the tissue. Do not try to go for any type of surgeries on keloids as it can cause further recurrence and complexity of the condition. I hope these informations are helpful in your brother's condition. If you have any further queries then I will be glad to help. "Wish you good health" with regards, Dr. Sanjay Kumar Kanodia (MD - Dermatology)

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