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Thirty-seven cases were analyzed, with a median patient age of 25 years and female predominance. Ear involvement was the most common anatomical site, and cosmetically driven concerns were the leading reason for visiting. Pruritus and pain were frequent symptoms, while ear piercing, trauma, and shaving were common causes. Prior treatment occurred in less than half of patients.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":46,"@type":70,"position":76},"https://docshare.wps.com/template/paper-templates/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/epidemiology-and-pattern-of-presentation-of-keloids-at-a-tertiary-hospital-in-southern-nigeria/564962/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"Terk","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-12",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"What was the study design and study period?","Question",{"text":102,"@type":103},"It was a retrospective review of patients with keloids presenting from May 2021 to December 2023 at a plastic surgery clinic.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"Which body location and cause were most common?",{"text":107,"@type":103},"The ear was the most common location, and ear piercing was the most common cause of keloid formation.",{"name":109,"@type":100,"acceptedAnswer":110},"What were the leading symptoms and reasons for presentation?",{"text":111,"@type":103},"Pruritus was the leading symptom. 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It could involve lesions that are cosmetically unpleasant, as well as symptomatic lesions. The common symptoms are pain and pruritus. There is paucity of data on the epidemiology and pattern of presentation in Nigeria. This study assessed the epidemiology and pattern of presentation ofkeloid scar in a teaching hospital southern Nigeria.  \nMethod: Retrospective review of patients attending plastic surgery clinic between May 2021 and December 2023. The demographic and clinical characteristics of the patients were extracted from the records and analysed.  \nResult: A total of 37 patients were included, with a median age of 25 years. Most of the patients (54.1%) were females. Majority (64.9%) were single, while a quarter of the patients had family history. Patients were largely from Urhobo (45.9%), Ukwuani (16.2%), and Ika (10.8%) ethnic groups. The median duration of keloid was 24 months. Ear (35.1%), chest (10.8%), suprapubic (10.8%), and jaw/neck (10.8%) were the common locations. Most of them had a single keloid (59.5%) . Cosmesis (55.6%) was the commonest reason for presentation. Among those with symptoms, pruritus (38.9%), pain (27.8%) were the common symptoms. Ear piercing (32.4%), trauma (29.7%), and shaving (18.9%) were the leading causes of keloid. Less than half (43.2%) had received treatment prior to presentation, with most (75%) receiving a unimodal treatment.  \nConclusion: The most common location of keloid was the ear, with piercing as the commonest cause. Pruritus is the leading symptom of keloid scar.  \nKeywords: keloid, epidemiology, keloid presentation, causes of keloid, keloid locations.  \nHow to cite this article:  \nIsamah CP, Akpomiemie MO, Otene CI. Epidemiology and Pattern of Presentation of Keloids at a Tertiary Hospital in Southern Nigeria. The Nigerian Health Journal 2024; 24(3):1535- 1542.  \n[https://doi.org/10.60787/tnhj.v24i3.875](https://doi.org/10.60787/tnhj.v24i3.875)  \nIntroduction  \nKeloids represent an unpleasant and disfiguring complication in the spectrum of wound healing. It is fibroproliferative lesion involving scar tissues formed during cutaneous wound healing.1,2 These lesions follow injuries with a depth involving the dermis where fibroproliferation is part of the process of healing unlike injuries just involving the epidermis. Keloids are firm, often nodular lesions.  \nThey are characterised by a growth pattern that is beyond the border of the original injury.3 this growth pattern is likely due to the exaggerated fibroproliferative response to injuries in these patients that are predisposed to keloid formation. The initial injury might be a minor, often neglected trauma. However, they are commonly due to chronic inflammation from ear piercing, repeated trauma from shaving, burn injuries, insect bites, lacerations, and following surgical incisions.4,5,6  \nKeloids can occur anywhere in the human body, with the palm and soles of the feet being rare sites. The common sites are the chest, earlobes, jaws, upper arm, and breast. 1,3,7 The identified risk factors for keloid scars include race, family history, increased wound tension, blood group A, you","cbCaidzqpfIhQwEk","https://ap.wps.com/l/cbCaidzqpfIhQwEk","pdf",342022,8,"English","# Introduction\n## Method\n### Study Setting\n### Study Design\n### Study Population\n### Variables and data collection\n### Data Analysis","[{\"question\":\"What was the study design and study period?\",\"answer\":\"It was a retrospective review of patients with keloids presenting from May 2021 to December 2023 at a plastic surgery clinic.\"},{\"question\":\"Which body location and cause were most common?\",\"answer\":\"The ear was the most common location, and ear piercing was the most common cause of keloid formation.\"},{\"question\":\"What were the leading symptoms and reasons for presentation?\",\"answer\":\"Pruritus was the leading symptom. Cosmesis was the commonest reason for presentation.\"}]","Epidemiology and Pattern of Presentation of Keloids at a Tertiary Hospital in Southern Nigeria | PDF"]