A Case of Post Varicella Recurrent Presternal Butterfly Keloid

Andre Vera, Henry Weatherburn, Kamalendu Malaker

ICM Department, Ross University School of Medicine, Portsmouth, Dominica Princess Margaret Hospital, Roseau, Dominica.
Parkside Oncology Clinic, London, UK.
Radiotherapia Oncologica GURVE, Instituto Medico la Floresta, Caracus, Venezuela.

DOI: 10.4236/ijmpcero.2013.23012                

Abstract

Presternal butterfly keloid management remains a clinical challenge. This case indicates, with hypo fractionated external beam electron therapy a significant symptomatic and cosmetic benefit may be achieved without any unacceptable acute, chronic or long term toxicity.

Keywords

Butterfly Presternal Keloid; Hypo Fractionated External Beam Radiotherapy

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	N. Kluger, A. Mahe and B. Guillot, “Eruptive Keloids after Chickenpox,” Dermatology Reports, Vol. 3, No. 2, 2011, p. 35.
[2]	A. Bayat, G. Arscott, W. E. R. Oliver and M. W. J. Ferguson, “‘Aggressive Keloids’: A Severe Variant of Familial Keloid Scaring,” Journal of the Royal Society of Medicine, Vol. 96, No. 11, 2003, pp. 554-555.
[3]	M. A. Daizi, N. A. Chowdri, S. K. Kaul and M. Khan, “Evaluation of Various Methods of Treating Keloids and Hyper Tropic Scars,” British Journal of Plastic Surgery, Vol. 45, No. 5, 1992, pp. 374-379.
[4]	O. Rei, “Most Current Algorithms for Treatment and Prevention of Hypertrophic Scars and Keloids,” Plastic and Reconstructive Surgery, Vol. 125, No. 2, 2010, pp. 557-568.
[5]	K. Malaker, V. Vijayragavan and I. Hodson, “Retrospective Analysis of Treatment of Unresectable Keloids with Primary Radiation over 25 Years,” Clinical Oncology, Vol. 16, No. 4, 2004, pp. 290-298.
[6]	O. Rei, M. Kioshi, et al., “Postoperative Electron Beam Irradiation Therapy for Keloids,” Plastic and Reconstructive Surgery, Vol. 111, No. 2, 2003, p. 547.
[7]	N. Sceinfield and S. R. Cohen, “Varicella Causes Skin Pits and Keloids—More Reasons for Varicella Vaccine,” Pediatrics, Vol. 106, No. 1, 2000, p. 160.
[8]	K. Malaker, M. Zaidi, F. Ridda and T. Al Yafi, “Concomitant Multimodality Treatment of Keloids (CMTK) Unmanageable by Conventional Post-Operative Radiotherapy,” 9th Congress of the Pan Arab Association of Burns and Plastic Surgery, Bahrain, 11-13 April 2006.
[9]	K. Malaker, M. Zaidi, F. Ridda and T. Al Yafi, “Update on Concomitant Multimodality Treatment of Keloids (CMTK) Unmanageable by Conventional Postoperative Radiotherapy,” 17th Annual Meeting of the European Association of Plastic Surgeon (EUROPAS), Istanbul, 25-27 May 2006.
[10]	K. Malaker, M. Zaidi and F. Ridda, “‘Tripoli Protocol’: A Developing Nation’s Challenge in Managing Some Difficult Keloids,” International Scar Meeting, Tokyo, 30 November-1 December 2010.
[11]	K. Malaker, M. Zaidi, M. R. Franka and T. Al Yafi, “Concurrent Multi-Modality Treatment of Keloids (CMTK) Not Manageable by Conventional Postoperative Radiotherapy,” International Journal of Clinical Medicine, Vol. 4, No. 5, 2013, pp. 273-281.