Keloids: assessment of effects and psychosocial-impacts on subjects in a black African population.

ABSTRACT

BACKGROUND: Keloids are vexatious swelling on the skin or the conjuctiva. The effects and impacts of these lesions have not been assessed in a keloid endemic environment like Nigeria. AIMS: The purpose of this study is to assess the psychosocial impact as well as effects of keloids on the subjects in a black African population where lesions are commonly seen. METHODS: This is a prospective study which assesses the impacts of keloid on keloid patients. Consented patients who presented to the Plastic Surgery Clinic of the Lautech Teaching Hospital, Osogbo, Nigeria were recruited into the study. A set of questionnaires were administered to all consented patients. The administered questionnaires were analyzed using SPSS version 10. RESULTS: One hundred and thirty one patients were involved in this study. They comprised of 61 males and 70 females. Most (96.8%) of them had the keloid lesion for more than one year. Sixteen (12.2%) of the patients felt that keloids negatively affect their works, 64 (48.9%) of the patients felt stigmatized by keloids, 28 (56.0%) of them who had lesions in conspicuous parts while 24 (46.2%) had lesions in non-conspicuous parts. Females (59.1%) felt stigmatized than males. Only 47 (35.8%) of the patients believed that keloid swelling limit their social interaction. CONCLUSION: Keloids do not appear to have significant negative impacts on keloid patients in a keloid-endemic community like a black African population.