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使用丙酸倍氯米松贴膏在不进行手术、放疗或注射的情况下有效治疗一名女性侵袭性胸壁瘢痕疙瘩

Effective Treatment of an Aggressive Chest Wall Keloid in a Woman Using Deprodone Propionate Plaster without Surgery, Radiotherapy, or Injection.

作者信息

Ogawa Rei, Quong Whitney Laurel

机构信息

From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.

Division of Plastic, Reconstructive & Aesthetic Surgery, University of Toronto, Toronto, Canada.

出版信息

Plast Reconstr Surg Glob Open. 2024 Sep 3;12(9):e6117. doi: 10.1097/GOX.0000000000006117. eCollection 2024 Sep.

Abstract

Treatment with steroid tape is the standard of care for keloid and hypertrophic scars in Japan. In this article, we present a woman with an aggressive and progressive keloid of the anterior chest wall. At the time of presentation, the keloid had been present for 40 years, and was continuing to worsen and expand. Initially, it was believed that a multidisciplinary approach, including surgery and radiation, would be necessary to achieve an acceptable scar outcome. However, we successfully treated her keloid using only steroid tape (deprodone propionate plaster), and no other treatment modality. The case therefore supports the effectiveness of deprodone propionate plaster, and emphasizes its potential for wider future use. With the paucity of experience reported in the literature on steroid tape for scars, more reports are useful to inform plastic surgeons and dermatologists worldwide about this therapeutic option.

摘要

在日本,使用类固醇胶布治疗瘢痕疙瘩和增生性瘢痕是标准的治疗方法。在本文中,我们介绍了一位患有侵袭性且进行性发展的前胸壁瘢痕疙瘩的女性。在就诊时,该瘢痕疙瘩已经存在40年,并且仍在继续恶化和扩大。最初,人们认为需要采用包括手术和放疗在内的多学科方法才能获得可接受的瘢痕治疗效果。然而,我们仅使用类固醇胶布(丙酸倍氯米松贴膏)就成功地治疗了她的瘢痕疙瘩,未采用其他治疗方式。因此,该病例支持了丙酸倍氯米松贴膏的有效性,并强调了其在未来更广泛应用的潜力。鉴于文献中关于类固醇胶布治疗瘢痕的经验报道较少,更多的报道有助于让全球的整形外科医生和皮肤科医生了解这种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0764/11368212/b6b5ec4c9d2b/gox-12-e6117-g001.jpg

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