Keloids after chickenpox in a child

Keloids are abnormal fibrotic scars that result from dysregulated wound healing, often presenting cosmetic and functional challenges. While typically associated with trauma, surgery, or burns, their occurrence following viral exanthems such as chickenpox is rarely reported. We present the case of a 7-year-old girl with skin phototype IV who developed multiple keloids localized to chickenpox scars, three years after recovery and with no family history of keloids. The lesions, asymptomatic and evolving over 18 months, were distributed across the trunk. Given the patient's age and the extent of the lesions, silicone gel sheeting was proposed as a noninvasive first-line treatment. This case underscores the potential for keloid development in response to chickenpox in predisposed individuals with darker skin tones, and highlights the therapeutic challenges in pediatric populations, where treatment options must balance efficacy, invasiveness, and tolerability.