Papers of The 10th Japan Scar Workshop

2. Effectiveness of Corticosteroid Tape/Plasters for Keloids and Hypertrophic Scars
- Comparative Study of Fludroxycortide and Deprodone Propionate Tape/Plasters -

Rei Ogawa, Satoshi Akaishi
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan

Corticosteroid tape/plasters have long been used in Japan for the treatment of keloids and hypertrophic scars. They effectively prevent the development and recurrence of keloids and hypertrophic scars in children, who are more responsive to this type of treatment than adults. This may be because children have thinner skin, and thus steroids are very easily absorbed. Therefore, corticosteroid tape/plasters are a reasonable first-line therapy for keloids and hypertrophic scars in children. They are also suitable as a therapy for minor keloids in adults. In this study, deprodone propionate plasters were more effective than fludroxycortide tape. Interestingly, contact dermatitis, which is common among adult patients who use tape, does not tend to occur in children, in our experience. This may also be because of the thinner skin of children, through which steroids are easily absorbed. Further precise randomized control studies should be planned worldwide.
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