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| 1 | Diagnosis and Treatment of Keloids and Hypertrophic Scars—Japan Scar Workshop Consensus Document 2018显示文摘There has been a long-standing need for guidelines on the diagnosis and treatment of keloids and hypertrophic scars that are based on an understanding of the pathomechanisms that underlie these skin fibrotic diseases.This is particularly true for clinicians who deal with Asian and African patients because these ethnicities are highly prone to these diseases.By contrast,Caucasians are less likely to develop keloids and hypertrophic scars,and if they do,the scars tend not to be severe.This ethnic disparity also means that countries vary in terms of their differential diagnostic algorithms.The lack of clear treatment guidelines also means that primary care physicians are currently applying a hotchpotch of treatments,with uneven outcomes.To overcome these issues,the Japan Scar Workshop(JSW)has created a tool that allows clinicians to objectively diagnose and distinguish between keloids,hypertrophic scars,and mature scars.This tool is called the JSW Scar Scale(JSS)and it involves scoring the risk factors of the individual patients and the affected areas.The tool is simple and easy to use.As a result,even physicians who are not accustomed to keloids and hypertrophic scars can easily diagnose them and judge their severity.The JSW has also established a committee that,in cooperation with outside experts in various fields,has prepared a Consensus Document on keloid and hypertrophic scar treatment guidelines.These guidelines are simple and will allow even inexperienced clinicians to choose the most appropriate treatment strategy.The Consensus Document is provided in this article.It describes(1)the diagnostic algorithm for pathological scars and how to differentiate them from clinically similar benign and malignant tumors,(2)the general treatment algorithms for keloids and hypertrophic scars at different medical facilities,(3)the rationale behind each treatment for keloids and hypertrophic scars,and(4)the body site-specific treatment protocols for these scars.We believe that this Consensus Document will be helpful for physicians from all over the world who treat keloids and hypertrophic scars. | Rei Ogawa Sadanori Akita Satoshi Akaishi Noriko Aramaki-Hattori Teruyuki Dohi Toshihiko Hayashi Kazuo Kishi Taro Kono Hajime Matsumura Gan Muneuchi Naoki Murao Munetomo Nagao Keisuke Okabe Fumiaki Shimizu Mamiko Tosa Yasuyoshi Tosa Satoko Yamawaki Shinichi Ansai Norihisa Inazu Toshiko Kamo Reiko Kazki Shigehiko Kuribayashi | 2019 | Burns & Trauma2019，7，1： | 31 |
| 2 | Synthesis of diamond with the highest nitrogen concentration显示文摘 | Hisao Kanda Minoru Akaishi Shinobu Yamaoka | 1999 | Diamond & Related Materials1999，，： | 2 |
| 3 | Thoracoscopic en bloc total esophagectomy with radical mediastinal lymphadenectomy显示文摘 | Takashi Akaishi Iwao Kaneda Norio Higuchi Yoshiki Kuriya Jun-ichi Kuramoto Tsuneo Toyoda Akio Wakabayashi | 1996 | The Journal of Thoracic and Cardiovascular Surgery1996，，6： | 2 |
| 4 | The role of major histocompatibility complex alleles in the susceptibility of Brazi-lian patients to develop the myogenic type of Graves' orbitopathy显示文摘 | Akaishi P M Cruz A A Silva F L | 2008 | Thyroid2008，18，4： | 1 |
| 5 | Structural requirements for the flavonoid fisetin in inhibiting fibril forma-tion of amyloid p protein显示文摘 | Akaishi T Morimoto T Shibao M | 2008 | Neurosci Lett2008，444，3： | 1 |
| 6 | Usefulness of transverse fundal incision method of cesarean section for women with placentas widely covering the entire anterior uterine wall显示文摘 | Nishida R Yamada T Akaishi R | | 0，，01： | 1 |
| 7 | Complete elimination of cardiodepressant IgG3 autoantibodies by immunoadsorption in patients with severe heart failure 显示文摘 | Baba A Akaishi M Shimada M | 2010 | Circ J2010，74，7： | 1 |
| 8 | A simple method for calcμLating the probability of excluding paternity with any number of codominant alleles 显示文摘 | Ohno Y Sebetan IM Akaishi S | 1982 | Forensic Sci Int1982，19，1： | 1 |
| 9 | The Relationship Between Keloid Growth Pattern and Stretching Tension: Visual Analysis Using the Finite Element Method 显示文摘 | Akaishi S Akimoto M Ogawa R | 2008 | Ann Plast Surg2008，60，4： | 1 |
| 10 | Entrapment of left renal vein in children with orthostatic proteinuria显示文摘 | Shintaku N Takahashi Y Akaishi K | 1990 | Pediatr Nephrol1990，4，4： | 1 |
| 11 | Entrapment of Ief renal vein in children with orthostatic proteinuria显示文摘 | Shintaku N Takahashi Y Akaishi K | 1990 | Pediatr Nephrol1990，4，： | 1 |
| 12 | 查看详情显示文摘 | Isoya J Kanda H Akaishi M Morita Y Ohshima T | | 0，，： | 1 |
| 13 | Entrapment of left renal vein in children with orthostatic proteinuria显示文摘 | SHINTAKU N TAKAHASH Y AKAISHI K | 1990 | Pediafr Nephrol1990，4，4： | 1 |
| 14 | Characterization of several cub ic phases directly transformed from the graphitic BC2N 显示文摘 | Akaishi M Sasaki T | 1996 | Mater Sci Eng A1996，209，12： | 1 |
| 15 | 显示文摘 | Mushiaki M Akaishi K | 1993 | Mater Sci Eng1993，1，63： | 1 |
| 16 | Keloid and hypertrophic scar:Neurogenic inflammation hypotheses显示文摘 | OGAWA R HYAKUSOKU H | 2008 | Med Hypotheses2008，7，1： | 1 |
| 17 | Entrapmenl of left renal vein in children with orthostatic proteinuria 显示文摘 | Shin taku N Takahash Y Akaishi K | 1990 | Pediatr NephroI1990，4，： | 1 |
| 18 | One and a half ventricle repair for Ebstein's anomaly显示文摘 | Akaishi J Yamauchi H Ochi M | 2003 | Jpn J Thorac Cardiovasc Surg2003，51，12： | 1 |
| 19 | Entrapmenl of left renal vein in children with orthostatic proteinuria显示文摘 | Shin taku N Takahash Y Akaishi K | 1990 | Pediatr NephroI1990，4，： | 1 |
| 20 | A simple method for calculating the probability of excluding paternity with any number of codominant alleles 显示文摘 | Ohno Y Sebetan IM Akaishi S | 1982 | Forensic Sci Int1982，19，： | 1 |
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