• Thamy Harumi Cardoso Motoki, Felipe Contoli Isoldi, Maria José de Azevedo Brito, Alfredo Gragnani Filho, and Lydia Masako Ferreira.
• Universidade Federal de São Paulo (UNIFESP/EPM) - Plastic Surgery Division, São Paulo, Brazil.
• Burns. 2019 May 1; 45 (3): 610-614.

Background/ObjectivesKeloid is a healing disorder that occurs exclusively in humans. This pathology is considered a benign cicatricial neoplasm, whose physiopathogenesis has not yet completely clarified. Its disfiguring appearance often could potentially cause a disturbance in the patient regarding his/her body image. The objective is to evaluate the impact of keloid on body image.Methods61 patients with keloid in socially exposed regions of the body were included. The participants were submitted to clinical evaluation, composed of anamnesis and physical examination, and answered two questionnaires: the Body Dysmorphic Symptoms Scale (BDSS) questionnaire and the Rosenberg Self-Esteem Scale - Unifesp/EPM.ResultsForty percent of the patients had negative aspects of body image (BDSS score≥6). The scores of these patients on the Rosenberg Scale reached an average of 10.5 (p<0.03).ConclusionsThe presence of a keloid negatively affects body image.Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.

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