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Keloid formation can occur within a year after injury
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The most frequently involved sites are areas that are
constantly subjected to high skin tension.
EPIDEMIOLOGY
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Wounds on the anterior chest, shoulders, flexor
surfaces of the extremities (eg, deltoid region), and
anterior neck and wounds that cross skin tension
lines.
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a wound healing by secondary intention >3 weeks.
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Wounds with chronic inflammation,
(earring) or repeated trauma.