Papers of The 2nd Japan Scar Workshop

17. New Approach to Clinical Classification of Keloids and Hypertrophic Scars

Rei Ogawa, Satoshi Akaishi, Hiko Hyakusoku
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan

Differential diagnosis of keloids and hypertrophic scars is important to the planning of treatment. In Japan, “Classification by Ohura” has been widely used since 1993. On the other hand, the international advisory panel on scar management reported the international clinical recommendations on scar management in 2002, and referred to the classification of keloids and hypertrophic scars in that report. However, we have encountered cases in which keloids and hypertrophic scars seemed to be combined. Thus, classification is difficult. We combined a group of fibroproliferative skin diseases, and classified them by the severity of clinical manifestations. This scoring system may be useful in planning the treatment of keloids and hypertrophic scars.
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