Dermoscopic Features of Keloid versus Hypertrophic Scar
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 4
Abstract
<strong>Background</strong>: Hypertrophic scars and keloids can be described as variations of typical wound healing. <strong>Aim of this study</strong> was to find out the dermoscopic differentiating features between keloids and hypertrophic scars in their recent phases of development in Egyptian population. <strong>Patients and Methods</strong>: An observational cross-sectional design of 30 cases that assigned according to histopathological analysis into two groups; Keloids and Hypertrophic scars. Then the polarized non-contact mode of a Dermlite© DL3 “Gen, USA” at a magnification of 10 × was used to capture dermoscopic images for both groups. The surface morphology and the dermoscopic criteria were recorded directly from the patients and included vascular structures (Arborizing, linear and comma shaped vessels), erythematous or white patches. <strong>Results</strong>: Statistical analysis revealed that patients with keloids are more likely to be associated with the presence vascular structures on dermatoscopy. The analysis of types of vascular structures showed that arborizing vessels, in particular, were significantly related to keloids. In contrast, the dominant dermoscopic feature in Hypertrophic scarring was the presence of scarring as presented in the form of erythematous or white patches with scanty or absent vascularization. <strong>Conclusions</strong>: Dermatoscopy should be considered as a routine investigation of any case with abnormal scarring for a better differentiation between keloids and hypertrophic scars, and hence a better evaluation and treatment of each type.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583535
- DOI 10.12816/0043814
- Views 125
- Downloads 0
Multi Drug Resistant Bacteria and Its Antibiotic Susceptibility at Percutanous Endoscopic Gastrostomy (PEG) Tube Site of Long Term Care Facility Elderly Residents
Background: Percutaneous endoscopic gastrostomy (PEG) is the preferred route of feeding and nutritional support in patients with a functional gastrointestinal system who require long-term enteral nutrition. The objective...
Pattern of clinical Endocrine Practice in King Khalid University Hospital
Background: the endocrine system releases hormones that help control body functions including the body’s ability to change calories into energy that powers cells and organs. The endocrine system influences heart beats, b...
The Relation between Breastfeeding and Incidence of Diabetes Mellitus Type I in Saudi Arabia, Cross Sectional Study
Background: Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control. Type 1 diabetes is due to autoimmune β -cell destruction, usuall...
Outcome of PRK in Management of Post LISIK Residual Myopia and Myopic Astigmatism
Background: Different retreatment options are available for management of post LASIK residual myopia and myopic astigmatism, however PRK reduces the risk of ectasia by preserving the corneal stroma as much as possible an...
Effect of Obesity in The Outcomes of Patients Admitted to Intensive Care Unit
<strong>Background:</strong> The physiological changes associated with obesity may impair the ability to withstand the stress of critical illness, and particularly in surgical postoperative patients, the effects on cardi...