Kossoko H, Allah K C, Assi Djè Bi Djè V, Yéo S, Koffi K E, Richard Kadio M
Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main et brûlologie, CHU de Treichville, Cote d'Ivoire.
Chir Main. 2012 Sep;31(4):210-3. doi: 10.1016/j.main.2012.07.012. Epub 2012 Aug 9.
The keloid scar is a fibrous skin tumor, intradermal, and exuberant. It is commonly found on the glabrous skin. The keloid of the palms and soles are rare. Small series are reported in English literature. The authors report a case of large keloids located on both palms and soles, within a context of keloid disease, in a man of 37 years. On the left hand, the keloid scar caused a partial syndactyly IV-V. Large keloid tumors occupied the inner edge and, weight-bearing areas of both feet. These tumors rendered wearing of shoes impossible and interfered with walking. The treatment consisted of total excision of palmar and plantar keloid tumors. The residual defects were covered by a total skin graft taken from the suprapubic region. The results were satisfactory aesthetically, functionally and psychosocially.
瘢痕疙瘩是一种纤维性皮肤肿瘤，位于真皮内，生长旺盛。常见于无毛皮肤。手掌和脚底的瘢痕疙瘩较为罕见。英文文献中有少量相关病例报道。本文作者报告了一例37岁男性在瘢痕疙瘩病背景下双手掌和双足底出现巨大瘢痕疙瘩的病例。左手的瘢痕疙瘩导致了IV - V指部分并指。巨大的瘢痕疙瘩肿瘤占据了双脚的内缘和负重区域。这些肿瘤使得患者无法穿鞋并影响行走。治疗方法为彻底切除手掌和足底的瘢痕疙瘩肿瘤。残留缺损采用取自耻骨上区域的全厚皮片覆盖。结果在美学、功能和心理社会方面均令人满意。
