Ulcerated Keloid Secondary to a Coexisting Complicated Epidermal Inclusion Cyst: A Sonographic Diagnosis

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dc.contributor.authorPérez, Jaime
dc.contributor.authorWhittle, Carolina
dc.contributor.authorGarcía, Viviana
dc.contributor.authorNorris, Frances
dc.contributor.authorCastro, Alex
dc.contributor.authorHitschfeld, Mario
dc.date.accessioned2021-08-18T16:57:55Z
dc.date.available2021-08-18T16:57:55Z
dc.date.issued2020
dc.description.abstractKeloid is a benign fibroblastic tumor that is most often secondary to tissue injury. The clinical presentation is a hard red or purple tumor, mostly itchy or painful. The clinical objectives are to report an ulcerated keloid secondary to a central or inner complicated epidermal inclusion cyst histologically proven and to describe the sonographic findings that permitted the diagnosis. A 29-year-old man with multiple large keloids on the chest wall presented with a two-day pain history, increased volume, and ulceration on one side. Physical examination showed a keloid with edema, peripheral erythema, and a 1-cm central ulcer with purulent discharge. On the sonogram, multiple solid dermal hypodermal pseudotumors were visualized. The lesions were well-defined hypoechogenic heterogeneous solid masses that were hypovascular with color Doppler, concordant with keloids. Within the ulcerated enlarged mass, a complicated epidermal inclusion cyst was discovered with inflammatory changes. The significance of this case lies in the very low frequency of ulceration of a keloid and the high diagnostic value of sonography to demonstrate the presence of a coexisting epidermal inclusion cyst. In the differential diagnosis of an ulcerated keloid, sonography can assist in achieving a better presurgical approaches
dc.identifier.citationJournal of Diagnostic Medical Sonography, 2020, vol. 36(4) 365–368es
dc.identifier.urihttps://doi.org/10.1177/8756479320914517es
dc.identifier.urihttp://hdl.handle.net/11447/4356
dc.language.isoenes
dc.sourceJournal of Diagnostic Medical Sonography
dc.source
dc.subjectKeloid tissuees
dc.subjectEpidermal inclusion cystes
dc.subjectSonographyes
dc.subjectFibroblastic tumores
dc.titleUlcerated Keloid Secondary to a Coexisting Complicated Epidermal Inclusion Cyst: A Sonographic Diagnosises
dc.typeArticlees

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