EFFECT OF INTRALESIONAL INJECTION OF TRIAMCINOLONE ACETONIDE ON KELOIDA PROSPECTIVE OBSERVATIONAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 74
Abstract
BACKGROUND Wound repairs normally culminate in fine scars, the only evidence of dermal injuries. In certain individuals; however, the repair process may go awry and wound may heal with large elevated scar known as Keloid or hypertrophic scar. Many treatment methods are available. All have merits and demerits, but till now initial treatment for keloid is intralesional injection of Triamcinolone Acetonide (TA). The aim of this study is to find out the different local effects of intralesional injection of Triamcinolone Acetonide (TA) on keloid. MATERIALS AND METHODS An analytical observational prospective study was conducted on 156 patients of keloid on different sites of body, they were treated with intralesional injection of TA. All patients were kept on followup. Clinical data and final results of all patients were analysed and reported. RESULTS Out of 156 patients, 92 were female and 64 were male; 12 patients between 5- 10 years, 44 patients between 11-20 years, 68 patients between 21-30 years, 16 patients between 31-40 years, 8 patients between 41-50 years and 8 patients between 51-60 years. Effect of TA on keloid were documented as 43.59% recurrence, atrophy of skin in 17.95%, ulcer 10.26%, abscess 5.13%, vascular dilatation 8% and hypopigmentation of skin 15.38%. CONCLUSION Different effects are observed in keloid patients treated with TA but till now intralesional injection of TA is the initial treatment of choice. The treatment depends on acceptation and economy of treatment.
Authors and Affiliations
Radharaman Panda
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