title: A toe keloid after syndactyly release treated with surgical excision and intralesional steroid injection.
abstract: A keloid is a benign fibroproliferative disease of unknown etiology. Although it is common among Asians, the development of keloid on the foot is rare. We experienced a case of a keloid which arose on the foot of a 4-year-old boy after the surgical release of syndactyly. He had congenital cutaneous syndactyly of the third and fourth toes. After the reconstructive operation was performed when the patient was 2 years old, the wound became hypertrophic and grew to 37 × 37 × 8 mm. After the diagnosis of keloid based on a pathological examination, the keloid was resected completely. The web was reconstructed with a planter rectangular flap, and the skin defects were covered with a full-thickness skin graft. After the operation, we administered 5 intralesional steroid injections. Finally, the keloid was diminished 2 years after the operation.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan; and Department of Plastic and Reconstructive Surgery, Otsu Red Cross Hospital, Shiga, Japan.
authors.forename: Satoko
authors.initials: S
authors.lastname: Yamawaki
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan; and Department of Plastic and Reconstructive Surgery, Otsu Red Cross Hospital, Shiga, Japan.
authors.forename: Motoko
authors.initials: M
authors.lastname: Naitoh
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan; and Department of Plastic and Reconstructive Surgery, Otsu Red Cross Hospital, Shiga, Japan.
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Ishiko
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan; and Department of Plastic and Reconstructive Surgery, Otsu Red Cross Hospital, Shiga, Japan.
authors.forename: Rino
authors.initials: R
authors.lastname: Aya
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan; and Department of Plastic and Reconstructive Surgery, Otsu Red Cross Hospital, Shiga, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Katayama
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan; and Department of Plastic and Reconstructive Surgery, Otsu Red Cross Hospital, Shiga, Japan.
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Suzuki