RT Journal Article SR Electronic T1 The Management of Keloids: Hands-On Versus Hands-Off JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 149 OP 152 DO 10.3122/jabfm.2008.02.070011 VO 21 IS 2 A1 James Studdiford A1 Amber Stonehouse A1 Marc Altshuler A1 Elliot Rinzler YR 2008 UL http://www.jabfm.org/content/21/2/149.abstract AB Keloids are benign fibrous growths that appear in scar tissue. The lesions can be severely disfiguring and early recognition of genetic lesions is crucial. This case report outlines and reviews the important management strategies for these lesions and the requirement for extensive counseling for the patient and their family. Many potential medical and surgical interventions exist. Unfortunately, these lesions tend to recur and overall outcomes remain poor. Given patient susceptibility to disfiguring results, surgical intervention should be used with extreme caution.