Corticosteroids seem to be effective in the treatment ofkeloids as they diminish collagen and glycosaminoglycan synthesis,inhibit fibroblast growth, enhance collagen and fibroblastdegeneration, and have a powerful anti-inflammatoryeffect. Triamcinolone acetonide (TAC) is the most commonlyused intralesional corticosteroid for keloid treatment. TAC iscost-effective and practical and has become first-line treatmentfor keloids, in spite of some local adverse effects suchas dermal atrophy, telangiectasia, and hypopigmentation [2].