Plastic surgery; its principles and practice . er primanihealing, or spontaneously in the skin. It may also develop when heal-ing has taken place over exuberant granulations in a sluggish wound;in other words it is an hypertrophied scar. The histological picture ispractically the same wherever the growth develops (Figs. 166-170). It is well known that the negro race is particularly liable to developkeloid, even in the most trivial superficial scar. Certain white indivi-duals have this same tendency, but why it exists is not known. I haveseen on the same negro extensive multiple keloids of the
Plastic surgery; its principles and practice . er primanihealing, or spontaneously in the skin. It may also develop when heal-ing has taken place over exuberant granulations in a sluggish wound;in other words it is an hypertrophied scar. The histological picture ispractically the same wherever the growth develops (Figs. 166-170). It is well known that the negro race is particularly liable to developkeloid, even in the most trivial superficial scar. Certain white indivi-duals have this same tendency, but why it exists is not known. I haveseen on the same negro extensive multiple keloids of the neck and face,and at the same time smooth, flat movable scars on the arm with notendency to keloid in them. I have also seen white persons withkeloid development in every minor injury of the skin, and in scars follow-ing clean operations. I have in mind several instances in which keloid 2l8 PLASTIC SURGERY developed in a portion of a clean appendix scar, while the rest of thescar remained soft, fiat, and pliable. It is possible that some sub-. PlG. i66.—Recurrence after excision of a keloid of the wrist following an acid burn.—Note the new growth extending from one extremity of the incision to the other. Also thekeloid growth at the site of the sutures. This wound healed per primam and the growthbegan after several weeks had elapsed.
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