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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 | Long-term outcome of intralesional injection of triamcinolone acetonide for the treatment of keloid scars in Asian patients显示文摘 | Muneuchi G Suzuki S | 2006 | Scand J Plast Reconstr Surg Hand Surg2006，2，： | 1 |
| 3 | Long-term outcome of intralesional injection of triamcinolone acetonide for the treatment of keloid scars in Asian patients显示文摘 | Muneuchi G Suzuki S Onodera M | | 0，，02： | 1 |
| 4 | Outcomes of cardiac surgery in trisomy 18 patients显示文摘 | Muneuchi J Yamanoto J Takahashi Y | 2011 | Cardiel Young2011，21，2： | 1 |
| 5 | Obliteration of empyema space by vascularized anterolateral thigh flaps显示文摘 | Okuda M Yokomise H Muneuchi G | 2009 | Ann Thorac Surg2009，87，： | 1 |
| 6 | Long-term outcome of intralesional injection of triamcinolone acetonide for the treatment of keloid scars in Asian patients显示文摘 | Muneuchi G Suzuki S | | 0，，02： | 1 |
| 7 | The rare sugar D-allosehas a reducing effect against ischemia-reperfusion injury on the ratabdominal skin island flap model显示文摘 | Muneuchi G Hossain A Yamaguchi F | 2013 | J Surg Res2013，183，2： | 1 |
| 8 | Long-term outcome of intralesional injection of triamcinolone acetonide for the treatment of keloid scars in Asian patients显示文摘 | Muneuchi G Suzuki S | 2006 | Scand J Plast Reconstr Surg Hand Surg2006，40，2： | 1 |
| 9 | Pulmo- nary hypertension in patients with congeni- tal portosystemic venous shunt:A previous- ly unrecognized association 显示文摘 | Ohno T Muneuchi J Ihara K | 2008 | Pediat- rics2008，121，4： | 1 |
| 10 | Long-term outcome of intralesional injection of triamcinolone acetonide for the treatment of keloid scars in Asian patients 显示文摘 | Muneuchi G Suzuki S Onodera M | 2006 | Stand J Plast Reconstr Surg Hand Surg2006，40，2： | 1 |
| 11 | Incomplete kawasaki disease in a patient with chronic granulomatous disease显示文摘 | Muneuchi J Ishimura M Takada H | 2010 | Pediatr Int2010，52，3： | 1 |
| 12 | Long-term outcome of intralesional injection of triamcinolone acetonide for the treatment of keloid scars in Asian patients 显示文摘 | Muneuchi G Suzuki S Onodera M | 2006 | Scand J Plast Reconstr Surg Hand Surg2006，40，2： | 1 |
| 13 | Combined treatment using artificial dermis and basic fibroblast growth factor ( bFGF ) for intractable fingertip ulcers caused by atypical burn injuries 显示文摘 | Muneuchi G Suzuki S Moriue T | 2005 | Bums2005，31，4： | 1 |
| 14 | Combined treatment usingartificial dermis and basic fibroblast growth factor(bFGF)for intractable fingertip ulcers caused by atypical burn inju-ries显示文摘 | Muneuchi G Suzuki S Moriue T | 2005 | Burns2005，31，4： | 1 |
| 15 | Long-term outcome ofintralesional injection of triamcinolone acetonide for the treatment ofkeloid scars in Asian patients显示文摘 | Muneuchi G Suzuki S Onodera M | 2006 | Scand J Plast Reconstr Surg HandSurg2006，40，2： | 1 |
| 16 | Long-term outcome of intralesional in jection of triam cinolone acetonide for the treatment of keloid scars in Asian patients显示文摘 | Muneuchi G1 Suzuki S Onodera M | 2006 | Scand J Plast Reconstr Surg H and Surg2006，40，2： | 1 |
| 17 | Combined treatment using artificial dermis and basic fibroblast growth factor (bFGF) for intractable fingertip ulcers caused by atypical burn injuries显示文摘 | Muneuchi G Suzuki S Moriue T | 2005 | Burns2005，31，4： | 1 |
| 18 | Long-tern1 outcome of intralesional injection of triamcinolone acetonide for the treatment of keloid scars in Asian patients 显示文摘 | Muneuchi G Suzuki S Onodera M | 2006 | Scand J Plast Reconstr Surg Hand Surg2006，40，2： | 1 |
| 19 | Combined treatment using artificial dermis and basic fibroblast growth factor (bFGF) for intractable fingertip ulcers caused by atypical burn injuries显示文摘 | Muneuchi G Suzuki S Moriue T | 2005 | Burns2005，31，4： | 1 |
| 20 | Successful replantation of an amputated leg with severe crush and avulsion injury in an elderly patient:Case report 显示文摘 | Muneuchi G Suzuki S Ito O | 2003 | J Reconstr Microsurg2003，19，： | 1 |
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