the Causes of Fluid Leakage from Keloids - Dermatology

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Keloids, or hypertrophic scars, are raised areas of scar tissue that develop at the site of an injury. They can be particularly frustrating for patients due to their tendency to grow larger than the original wound and their potential to cause discomfort or cosmetic concerns. The fluid leakage you are experiencing from your keloid can be attributed to several factors related to the pathology of keloids and the healing process.

Firstly, keloids are characterized by an overproduction of collagen during the healing process. This excessive collagen deposition leads to the thick, raised appearance of the scar. The fluid you are noticing may be a result of inflammation in the keloid tissue. When keloids become inflamed, they can produce exudate, which is a fluid that leaks out of blood vessels into surrounding tissues. This fluid can be clear or slightly yellowish and may contain proteins, immune cells, and other substances involved in the inflammatory response.

The presence of "white stuff" you mentioned could be necrotic tissue or a collection of inflammatory cells and proteins. When keloids become irritated or traumatized, they can undergo changes that lead to tissue breakdown, resulting in the formation of serous fluid. This fluid can accumulate and eventually leak out, especially if the keloid is under pressure or has been scratched or otherwise manipulated.

Another contributing factor to the fluid leakage could be the treatment you have undergone. Corticosteroid injections are commonly used to manage keloids, and while they can help reduce inflammation and flatten the scar, they can also lead to skin thinning or atrophy in some cases. This thinning can make the skin more susceptible to breakdown, leading to fluid leakage.

It is essential to understand that keloids can be challenging to treat, and what works for one person may not work for another. If you have been receiving injections without significant improvement, it may be worth discussing alternative treatment options with your dermatologist or healthcare provider. Options may include silicone gel sheets, pressure therapy, laser therapy, or even surgical excision in some cases. However, surgical excision can sometimes lead to recurrence, so it is crucial to weigh the risks and benefits.

In terms of management, keeping the area clean and avoiding further irritation is essential. If the fluid leakage is significant or accompanied by signs of infection (such as increased redness, warmth, or pus), it is crucial to seek medical attention. Your healthcare provider may need to assess the area and determine if any additional treatment is necessary, such as antibiotics or further interventions.

In summary, the fluid leakage from your keloid is likely due to inflammation and tissue breakdown associated with the keloid itself or as a result of treatment. It is essential to maintain communication with your healthcare provider to explore effective treatment options and manage any complications that arise. Remember, keloids can be persistent, but with the right approach, you can find a management strategy that works for you.