Aggressive keloid scarring of the Caucasian wrist and palm.
Keloid scarring of the distal upper extremity is very rare. We report a Caucasian woman who presented with aggressive keloids of the hand and wrist causing De Quervain's syndrome, superficial radial-nerve entrapment and ulnar-nerve compression at the wrist. Multiple operations were required to alleviate her symptoms. A number of management conundrums arose, requiring defensive planning to pre-empt the possible complications of recurrent keloid scarring as a result of the surgical procedures.
Britto
J A
JA
St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, Essex, UK.
Elliot
D
D
D000328:Adult; D002349:Carpal Tunnel Syndrome / Q000209:etiology / Q000601:surgery; D005260:Female; D006229:Hand Dermatoses / Q000150:complications* / Q000601:surgery; D006801:Humans; D007627:Keloid / Q000150:complications* / Q000601:surgery; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery; D020425:Radial Neuropathy / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D013524:Surgical Flaps; D013717:Tenosynovitis / Q000209:etiology* / Q000601:surgery; D017769:Ulnar Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery; D014955:Wrist Joint