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Clinical Features: Keloids can form at any age, but are most common in adolescents and young adults. They are rare in infants, small children, and the elderly. They are four times more common in African-Americans than Caucasians, with a slight female predilection. The lesions may be solitary or multiple. Patients with multiple lesions tend to be younger, more likely to be female, and have a positive family history (50% of cases) in comparison to those with solitary keloids. (continued in the next image)

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