New insights on keloids, hypertrophic scars, and striae

Dermatol Clin. 2014 Apr;32(2):193-209. doi: 10.1016/j.det.2013.11.002.

Abstract

This article presents an overview of the literature regarding treatments for keloid disease, hypertrophic scars, and striae distensae in dark pigmented skin. Striae, keloid, and hypertrophic scarring present a challenging problem for both the clinician and patient. No single therapy is advocated for hypertrophic scars, keloid scars, or striae distensae. New therapies have shown promise in the treatment of hypertrophic and keloid scars, and in patients with dark pigmented skin. This article provides guidance on the assessment and determination of patients' suitability for certain treatment options, as well as advice on the follow-up of patients affected with problematic scarring and striae.

Keywords: Assessment; Focused treatment options; Hypertrophic scars; Keloid disease; Prevention; Striae distensae; Treatment.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Black People*
  • Cicatrix, Hypertrophic / ethnology
  • Cicatrix, Hypertrophic / therapy*
  • Combined Modality Therapy
  • Humans
  • Keloid / ethnology
  • Keloid / therapy*
  • Laser Therapy / methods
  • Pigmentation Disorders / ethnology
  • Pigmentation Disorders / therapy*
  • Skin / pathology
  • Wound Healing

Substances

  • Anti-Inflammatory Agents