Evaluation of a clinical case with keloid scar, treated with laser and plasma rich in platelets

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Title Evaluation of a clinical case with keloid scar, treated with laser and plasma rich in platelets
Evaluación de un caso clínico con cicatriz queloides, tratado con láser y plasma rico en plaquetas Evaluation of a clinical case with keloid scar, treated with laser and plasma rich in platelets
 
Creator Franco, Patricia
Barroeta, Blanca
 
Subject
dermatology, laser, aesthetics, aesthetic equipment.

dermatología, láser, estética, equipos de estética. dermatology, laser, aesthetics, aesthetic equipment.
 
Description Keloids are scars that present elevation above the normal level of the skin, due to a greater production of collagen, exceeding the limits of the original lesion. Objective: to evaluate a clinical case with keloid scar, treated with laser and platelet-rich plasma, for which the Evaluation Instrument (acronym TIGRE) will be used. A 30-year-old male patient is presented as a case, who comes to the consultation for showing a keloid scar in the posterior cervical region of 10 cm long by 4 cm wide, product of an open wound with a sharp object (razor), in the year 2018, without invasive infiltrative procedures, or previous surgical procedures, color changes were also observed in a purplish-blackish tendency, without signs of phlogosis, smooth texture, not turgid, with indurated areas, not painful on palpation. Fitzpatrick biotype III-IV. A therapeutic plan was carried out that included: exeresis through an extra keloid suture approach, three sessions through platelet-rich plasma and a non-ablative blue light Picosecond laser. The initial evaluation 58 points, first session 68 points, second session 70 points, third session 73 points. It is concluded that the treatment plan applied in the keloid study case was effective according to the assessment made through the TIGRE Assessment Instrument.
Los queloides son cicatrices que presentan elevación por encima del nivel normal de la piel, por una producción mayor de colágeno, sobrepasando los límites de la lesión original. Objetivo: evaluar un caso clínico con cicatriz queloides, tratado con láser y plasma rico en plaquetas, para lo cual se utilizará el Instrumento de Evaluación (acrónimo TIGRE). Se presenta como caso un paciente masculino de 30 años de edad, quien acude a la consulta por mostrar cicatriz queloides en región cervical posterior de 10 cm de largo por 4 cm de ancho, producto de herida abierta con objeto cortante (rasuradora), en el año 2018, sin procedimientos invasivos infiltrativos, ni quirúrgicos previos, también se observaron cambios de coloración en tendencia violácea-negruzca, sin signos de flogosis, textura lisa, no turgente, con áreas induradas, no doloroso a la palpación. Fitzpatrick biotipo III-IV. Se realizó plan terapéutico que contempló: exéresis a través de abordaje sutura extra queloides, tres sesiones a través del plasma rico en plaquetas y Láser Picosecond no ablativo de luz azul. La evaluación inicial 58 puntos, primera sesión 68 puntos, segunda sesión 70 puntos, tercera sesión 73 puntos. Se concluye que el plan de tratamiento aplicado en el caso de estudio de queloides, fue efectivo de acuerdo a la valoración realizada por medio del Instrumento de Evaluación TIGRE.Keloids are scars that present elevation above the normal level of the skin, due to a greater production of collagen, exceeding the limits of the original lesion. Objective: to evaluate a clinical case with keloid scar, treated with laser and platelet-rich plasma, for which the Evaluation Instrument (acronym TIGRE) will be used. A 30-year-old male patient is presented as a case, who comes to the consultation for showing a keloid scar in the posterior cervical region of 10 cm long by 4 cm wide, product of an open wound with a sharp object (razor), in the year 2018, without invasive infiltrative procedures, or previous surgical procedures, color changes were also observed in a purplish-blackish tendency, without signs of phlogosis, smooth texture, not turgid, with indurated areas, not painful on palpation. Fitzpatrick biotype III-IV. A therapeutic plan was carried out that included: exeresis through an extra keloid suture approach, three sessions through platelet-rich plasma and a non-ablative blue light Picosecond laser. The initial evaluation 58 points, first session 68 points, second session 70 points, third session 73 points. It is concluded that the treatment plan applied in the keloid study case was effective according to the assessment made through the TIGRE Assessment Instrument.
 
Publisher GICOS
 
Contributor

 
Date 2021-10-12
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion



 
Format application/pdf
 
Identifier http://erevistas.saber.ula.ve/index.php/gicos/article/view/17430
 
Source GICOS; Vol. 6, Núm. 4 (2021): julio-diciembre; 238-248
2610-797X
 
Language spa
 
Relation http://erevistas.saber.ula.ve/index.php/gicos/article/view/17430/21921928628
 
Rights Copyright (c) 2021 GICOS
 

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