Giant keloid behind the ear

Keloid is a hypermature scar with

Vascular (having good amount of blood in it)

Itching

Spreading

Tender

The treatment of keloid is extremely difficult sometimes. Such big lesions have to be excised meticulously under microscope sometimes and to prevent recurrence, weekly subcutaneous injection of Kenacort (steroid) and Hyluronidase ( enzymes) are given. Oral steroids may be given rarely if benefit outweigh the risks of steroids.