Histometric and histochemical analysis of the effect of trichloroacetic acid concentration in the chemical reconstruction of skin scars method.

Abstract

BACKGROUND:

Atrophic scars can be induced by various causes, including severely inflamed acne, chicken pox, and trauma. Many treatment modalities are used for reconstructing and improving the appearance of scars with various treatment results.

OBJECTIVE:

A recent report shows the clinical efficacy of the chemical reconstruction of skin scars (CROSS) method, which consists of the focal application of trichloroacetic acid (TCA) in a higher concentration. Histometric analysis of the CROSS method, however, has not yet been established.

METHODS:

In this study, five hairless mice were used to evaluate the effect of the CROSS method and to analyze the difference between the CROSS method and simple TCA application.

RESULTS:

Similar histologic changes were observed in the two methods, including epidermal and dermal rejuvenation with new collagen deposition. These changes, however, were more prominent in the CROSS method-treated areas, particularly when 100% TCA was used.

CONCLUSION:

The results of this study suggest that treatment of atrophic scars using the CROSS method is more effective than simple application of TCA in activating fibroblasts in the dermis and increasing the amount of collagen.

• Authors: Sung Bin Cho, Chang Ook Park, Woo Gil Chung, Kwang Hoon Lee, Jung Bock Lee, Kee Yang Chung
• Journal: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (Dermatol Surg) Vol. 32 Issue 10 Pg. 1231-6; discussion 1236 (Oct 2006) ISSN: 1076-0512 [Print] United States
• PMID: 17034371 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Caustics
• Trichloroacetic Acid
• Collagen

Topics

• Administration, Topical
• Animals
• Caustics (administration & dosage, therapeutic use)
• Cicatrix (drug therapy, metabolism, pathology)
• Collagen (metabolism)
• Disease Models, Animal
• Mice
• Mice, Hairless
• Rejuvenation (physiology)
• Skin (drug effects, metabolism, pathology)
• Treatment Outcome
• Trichloroacetic Acid (administration & dosage, therapeutic use)