Background

Keloids are reported to be amongst the common conditions seen in the pigmented skin of African origin with an estimate of about 15 times more compared with other races. They seldom resolve spontaneously, have a poor response to treatment and pose enormous impact on quality of life (QoL) in affected individuals. Aesthetic discomfort, depression, low self‐esteem and some degree of isolation increase the burden of the disease.

Methods

This hospital‐based cross‐sectional study was conducted at the Regional Dermatology Training Centre in Northern Tanzania. A total of 117 patients with keloid older than 18 years attended the skin clinic from October 2017 to April 2018. Data were collected using disease‐specific structured questionnaire and all were assessed using the Dermatology Life Quality Index (DLQI) Questionnaire.

Results

The mean DLQI for this population was 8.3 ± 7.4 reflecting a moderate impairment. The QoL seemed to be influenced by the number of keloids, duration of disease and the presence of symptoms. It was mainly seen in young adults with a median age of 29 years (range: 18–88 years). There was no significant sex predilection. Trauma as an inciting event was reported in 42%.

Conclusion

Keloid patients with pigmented skin of African descent in Northern Tanzania have a moderate impairment in the QoL.