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Telling the difference between active nodule or keloid scar

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I've been on accutane for about 4 weeks and ever since the 3rd day of accutane my neck broke out with 3 big red nodules. Its been 4 weeks + counting now but the bumps are still hard, although it has decreased a LITTLE in size and pain. Im starting to worry that the biggest one is turning into a keloid scar as its not showing any signs of going away. So im wondering what you guys think? Is it an active nodule or a keloid scar? How would i tell the difference?

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