skip to main content

Hailey-Hailey disease — SCE Dermatology MCQ

Instant feedback + full explanation. One question, done properly.

HardSkin biology & researchHailey-Hailey diseaseSCE Dermatology

A large symptomatic earlobe keloid recurs after previous excision alone. Which counselling point is most accurate before another procedure?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Combine re-excision with postoperative scar-directed therapy to reduce recurrence

Explanation lettering: D = shown as A · C = shown as B · E = shown as C · B = shown as D · A = shown as E

C is correct. Keloids extend beyond the original wound and commonly recur, particularly after excision alone. A further operation should therefore be planned with a specialist combination strategy such as postoperative intralesional corticosteroid, pressure therapy, silicone, selected laser treatment or—in carefully selected resistant lesions—postoperative radiotherapy. No single modality guarantees cure, and increased wound tension promotes rather than prevents recurrence. A hypertrophic scar remains within the original wound boundary. Choice depends on site, skin type, previous treatment, symptoms and risk tolerance.

Reference: British Association of Dermatologists: keloids: https://www.bad.org.uk/pils/keloids