Keloid With Central Ulceration and Necrosis Due To

Keloid with central ulceration and necrosis due to intralesional injection

Deba P Sarma,MD Omaha

F 20, scalp

Vimentin

CD 68

Comment
- Dermis shows a hyalinized keloidal scar with peripheral chronic inflammation. - Lesion is composed of collagenous tissue, positive with vimentin and free of histiocytes (negative CD 68). - Overlying epidermis shows central ulceration with a cup-shaped trangular dermal necrotic area correspoding to intralesional injection ( of steroid, a common office procedure for treatment of keloid).

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