Comparison of Intralesional Triamcinolone Acetonide Alone and With 5-Fluorouracil for the Treatment of Keloids

    Sadia Bhatti, Sadaf Ahmed Asim, Madiha Sajid, Tayyaba Iqbal, Fozia Shaikh, Hira Fatima Waseem
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    TLDR Combining TCA with 5-FU is more effective and safer for treating keloids than TCA alone.
    The study involving 66 patients compared the efficacy of intralesional triamcinolone acetonide (TCA) alone versus in combination with 5-fluorouracil (5-FU) for treating keloids. Group B, which received the combination treatment, showed a 95% good to excellent response rate, outperforming Group A's 70% response with TCA alone. The combination therapy also resulted in fewer side effects, such as atrophy and telangiectasia, and demonstrated a faster response. At a 6-month follow-up, no recurrence or serious side effects were noted, indicating that the combination of TCA and 5-FU is a more effective and safer option for keloid treatment.
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