Serial Sections of Atrophic Acne Scars Help in the Interpretation of Microscopic Findings and the Selection of Good Therapeutic Modalities
November 2011
in “
Journal of the European Academy of Dermatology and Venereology
”
TLDR Effective acne scar treatment should use combination therapy based on specific skin changes.
The study examined the microscopic characteristics of 31 atrophic acne scars from 5 patients to aid in selecting effective therapeutic modalities. Serial sections of the scars revealed key features such as keratin plugging in hair follicle orifices (32%), multi-channelled tracts (29%), decreased dermal thickness, loss of pilosebaceous units, and inflammatory cell infiltrates in the dermis (77%). Insufficient dense collagen fiber deposition was noted in 29% of the dermis. The findings suggested that treatment should consider these histopathological insights and potentially involve combination therapy for improved outcomes.