Table 1.
Normal, hypertrophic, and keloid scars compared.
Normal | Hypertrophic | Keloid |
---|---|---|
Confined to edges of original wound | Confined to edges of original wound | Extends beyond edges of wound |
Gradual fading and atrophy after maturation | Regresses after initial peak (although often over several years) | Progressive |
No treatment required | First-line treatment: silicone patches or gels | First-line treatment: intralesional steroid injection |
Best in the elderly | Worst in the young | More common in darker skin |
Normal response to TGF-β1 | Abnormal response to TGF-β1 | Failure of apoptosis |