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Question:  A 42 year old African American female is referred for a keloid scar involving the lobule of her right ear.  She describes undergoing three repeat excisions with scar revision, serial triamcinolone injections, and topical therapies with minimal benefit. What treatment following surgical re-excision would likely decrease the likelihood of recurrence in this patient?  [Answer will be posted with next week's new question]

Answer to last week's question, "Ushering It In" (September 12, 2016): 

Retinitis pigmentosa.