Beausang et al used a histologic score to evaluate a scar biopsy. The authors are from the University of Manchester and Withington Hospital in Manchester, England.
Parameters:
(1) epidermis
(2) collagen fiber orientation in papillary dermis
(3) collagen fiber orientation in reticular dermis
(4) collagen fiber density in papillary dermis
(5) collagen fiber density in reticular dermis
(6) collagen fiber maturity in papillary dermis
(7) collagen fiber maturity in reticular dermis
|
Parameter |
Finding |
Points |
|
epidermis |
normal |
0 |
|
|
some restoration of rete ridges |
1 |
|
|
no restoration of rete ridges |
2 |
|
collagen fiber orientation in papillary dermis |
normal basket-weave pattern |
0 |
|
|
1 - 25% abnormal |
1 |
|
|
26 - 50% abnormal |
2 |
|
|
51 - 75% abnormal |
3 |
|
|
76 - 100% abnormal |
4 |
|
|
keloid-like fiber orientation |
5 |
|
collagen fiber orientation in reticular dermis |
normal basket-weave pattern |
0 |
|
|
1 - 25% abnormal |
1 |
|
|
26 - 50% abnormal |
2 |
|
|
51 - 75% abnormal |
3 |
|
|
76 - 100% abnormal |
4 |
|
|
keloid-like fiber orientation |
5 |
|
collagen fiber density in papillary dermis |
normal fiber bundle density |
0 |
|
|
1 - 25% abnormal |
1 |
|
|
26 - 50% abnormal |
2 |
|
|
51 - 75% abnormal |
3 |
|
|
76 - 100% abnormal |
4 |
|
|
keloid-like fibers |
5 |
|
collagen fiber density in reticular dermis |
normal fiber bundle density |
0 |
|
|
1 - 25% abnormal |
1 |
|
|
26 - 50% abnormal |
2 |
|
|
51 - 75% abnormal |
3 |
|
|
76 - 100% abnormal |
4 |
|
|
keloid-like fibers |
5 |
|
collagen fiber maturity in papillary dermis |
normal fiber maturity |
0 |
|
|
1 - 25% abnormal |
1 |
|
|
26 - 50% abnormal |
2 |
|
|
51 - 75% abnormal |
3 |
|
|
76 - 100% abnormal |
4 |
|
|
keloid-like fibers |
5 |
|
collagen fiber maturity in reticular dermis |
normal fiber maturity |
0 |
|
|
1 - 25% abnormal |
1 |
|
|
26 - 50% abnormal |
2 |
|
|
51 - 75% abnormal |
3 |
|
|
76 - 100% abnormal |
4 |
|
|
keloid-like fibers |
5 |
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 32
• The higher the score the more severe the scarring.
Specialty: Dermatology
