What should you know about an inflamed keloid?

Keloid scars form when scar tissue extends beyond the original injury. They can follow acne, piercing, surgery, burns, or a minor cut. Inflammation may cause warmth, sensitivity, itching, colour change, or a tight feeling. A keloid is not the same as an ordinary flat scar, and its appearance can change gradually. A new or changing skin lump should be assessed rather than assumed to be a keloid; see the guide to [Skin Lumps](/symptoms/skin-lumps/).

Avoid picking, squeezing, scratching, or repeatedly rubbing the area. Keep the skin clean and protect it from friction; do not apply strong home remedies to broken skin. A clinician can confirm the diagnosis and discuss options such as [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/), laser treatments, freezing treatment, or [Keloid Removal Surgery](/treatments/surgical-dermatology/keloid-excision/). Treatment may require more than one approach because keloids can return after treatment.

Arrange a dermatology assessment if the lump is enlarging, persistently painful, frequently bleeding, or interfering with movement or sleep. Seek prompt medical care for spreading redness, increasing warmth, pus, fever, or rapidly worsening swelling, because these features can indicate infection or another problem. Urgent assessment is appropriate for severe pain, facial swelling, or breathing difficulty.

Ask whether the lesion is a keloid or another type of scar, what may be driving the inflammation, and which treatment fits its location and thickness. Ask how many visits may be needed, what skin changes to expect, and how recurrence will be monitored.