Dermoscopic features of hypertrophic scars and keloids
DOI:
https://doi.org/10.66344/jpad.v33i3.2286Keywords:
Dermoscopy, Kkeloid, Hypertrophic scarAbstract
Objective The present study was conducted to outline dermoscopic features that help to differentiate between keloids and hypertrophic scars.
Methods The study is a cross-sectional observational study done at the Center of Dermatology/ Medical City, Baghdad. The study was done through December 1st 2020 to August 1st 2021 on a convenient sample of 95 patients; (33) with hypertrophic scars and (62) with keloids. History and clinical examination were done for each patient. Clinical photos were captured by using an iPhone 8 (12 megapixels) camera. Dermoscopic study was done using Handyscope classic from Fotofinder.
Results Following features were noted pigment color in keloids was pink (43.5%), while in hypertrophic scar it was brown (69.7%) (p value =0.001). The most frequent vessel shape in keloids was arborizing (46.8%), arborizing/ linear (14.5%).While in hypertrophic scars the most frequent vessel shape was dotted (39.4%), followed by linear (21.2%), (p value = 0.001).
Conclusion The vessels shape and distribution as well as the pigment was different in keloids compared to hypertrophic scars (statistically significant) which help to differentiate the 2 in clinically suspicious lesions.
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Copyright (c) 2023 Huda Hadi Hayyawi, Hayder R Al-Hamamy
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