Dermatoscopic Patterns in Keloid, Hypertrophic, and Atrophic Scars: Cross-Sectional Analysis and Clinical Correlation

The study analyzed dermatoscopic patterns in 68 scars, including 38 keloids, 20 hypertrophic scars, and 10 atrophic scars, to assess the utility of dermatoscopy in scar evaluation. The findings indicate that dermatoscopy is more effective for monitoring scar activity and maturation rather than distinguishing between scar types. Keloids in active growth showed arborizing vessels and yellow-white areas, while reduced vascularity and reappearance of follicles indicated regression. Hypertrophic scars exhibited linear vessels that diminished with maturation, and atrophic scars showed prominent arborizing vessels due to dermal thinning. Dermatoscopy serves as a noninvasive tool for tracking scar progression and guiding treatment decisions, enhancing clinical assessment by identifying features linked to scar activity and evolution.