Hypertension : a systemic key to understanding local keloid severity

© 2015 by the Wound Healing Society..

This study assessed whether hypertension, a circulating factor, influences local keloid severity. This retrospective cross-sectional study involved 304 consecutive patients (13-78 years old) with keloids who were surgically treated in our hospital between January 2011 and August 2013. Their blood pressure (BP), age and gender, and the size and number of their keloids before surgery were recorded. Ordinal logistic regression analyses showed that BP associated significantly with both keloid size and number (all p < 0.0001). Age also associated with keloid size (p < 0.0001). However, a Goodness-of-fit chi-square test showed that the prevalence of hypertension was not higher among keloid patients than in the general Japanese population. This study provides epidemiological evidence for the possibility that primary hypertension may aggravate keloids. We propose that the skin, along with the heart and liver, is a target organ of hypertension. The observations of this study, which require validation with large-scale prospective interventional trials, suggest that keloid patients should be screened for hypertension and that antihypertensive treatments may be of prophylactic and therapeutic value for skin fibrosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society - 23(2015), 2 vom: 24. März, Seite 213-21

Sprache:

Englisch

Beteiligte Personen:

Arima, Juri [VerfasserIn]
Huang, Chenyu [VerfasserIn]
Rosner, Bernard [VerfasserIn]
Akaishi, Satoshi [VerfasserIn]
Ogawa, Rei [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 10.05.2016

Date Revised 07.12.2022

published: Print

Citation Status MEDLINE

doi:

10.1111/wrr.12277

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM246668989