Keloids: What Do the White Spots Mean? - Dermatology

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Keloids are a type of thick, raised scar that can develop after an injury to the skin, such as from acne, cuts, or surgical procedures. They are characterized by an overproduction of collagen during the healing process, which results in a raised area that can be larger than the original wound. The appearance of white spots within a keloid can be concerning, and understanding what these spots mean is essential for proper management.

The white spots you are observing in your keloid could potentially be several things. One possibility is that they are remnants of trapped sebum or keratin, which can accumulate in the skin. This can happen if the keloid is located in an area where hair follicles are present, as the sebaceous glands may still function and produce oil. In some cases, these white spots can resemble whiteheads or small cysts, which can occur when the pores become clogged.

Another possibility is that the white spots are indicative of necrotic tissue or a buildup of dead skin cells. Keloids can sometimes have a different texture and appearance compared to normal skin, and the presence of white spots may suggest that the keloid is not healing properly or that there is some irritation or inflammation occurring.

It is also important to consider the possibility of infection. If the keloid has become red, swollen, or painful, or if there is an unusual discharge, it may be a sign of infection. Infections can lead to pus formation, which may appear as white or yellow spots. If you suspect an infection, it is crucial to seek medical attention promptly.

In terms of treatment, keloids can be challenging to manage. Options include corticosteroid injections, silicone gel sheets, cryotherapy, laser therapy, and surgical removal. However, surgical removal can sometimes lead to the formation of new keloids, so it is essential to discuss the risks and benefits of each treatment option with a healthcare professional.

If you have not yet done so, I recommend consulting with a dermatologist or a healthcare provider who specializes in skin conditions. They can perform a physical examination, possibly conduct a biopsy if necessary, and provide a definitive diagnosis regarding the nature of the white spots in your keloid. They can also guide you on the most appropriate treatment options based on your specific situation.

In summary, the white spots in your keloid could be due to several factors, including trapped sebum, necrotic tissue, or infection. It is essential to monitor the keloid for any changes and seek professional medical advice to ensure proper diagnosis and treatment. Remember, keloids can be a persistent issue, and managing them often requires a tailored approach based on individual circumstances.