{"title":"Marked regression of a chronic elbow keloid after a single intralesional corticosteroid injection: a case report.","authors":"Peyman Khaledi","doi":"10.1186/s13256-025-05442-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Keloid scars can be challenging to manage, especially in resource-limited settings. This case demonstrates successful regression of a chronic keloid with a single intralesional corticosteroid injection.</p><p><strong>Case presentation: </strong>A 29-year-old Iranian male with a 3-year history of a posttraumatic keloid on the posterior elbow presented after failing to respond to topical therapies. A single dose of triamcinolone-lidocaine (1:1 ratio) was injected intralesionally. A total of 4 weeks postinjection, significant flattening and softening of the keloid was observed, and the patient returned 3 months later with sustained improvement.</p><p><strong>Conclusion: </strong>This case highlights the potential efficacy of a single intralesional corticosteroid injection for chronic keloid management in primary care.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"475"},"PeriodicalIF":0.8000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487239/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s13256-025-05442-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Keloid scars can be challenging to manage, especially in resource-limited settings. This case demonstrates successful regression of a chronic keloid with a single intralesional corticosteroid injection.
Case presentation: A 29-year-old Iranian male with a 3-year history of a posttraumatic keloid on the posterior elbow presented after failing to respond to topical therapies. A single dose of triamcinolone-lidocaine (1:1 ratio) was injected intralesionally. A total of 4 weeks postinjection, significant flattening and softening of the keloid was observed, and the patient returned 3 months later with sustained improvement.
Conclusion: This case highlights the potential efficacy of a single intralesional corticosteroid injection for chronic keloid management in primary care.
期刊介绍：
JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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