Ulcerated Hypertrophic Scar in A 21-Year-Old Female: A Case Report

Hypertrophic scarring (HTS) is a cutaneous condition characterized by deposits of excessive amount of collagen that create a raised scar at the site of injury.HTS is a result of impaired mechanism of wound healing process.We report the case of a 21-years old female who developed two thick hypertrophic scar bands in both inguinal regions, secondary to burns resulting from the application of a depilatory cream.One year after the development of the HTS, a red nodule was noted in the right inguinal region, arising from an elevated soft border.According to the patient, this erythematous nodule developed as a result of recurrent pruritus and intermittent and pain originated from the scar.In the dermoscopic examination blood vessels of various shapes, including short, long, branched and interrupted forms, were observed.No other dermoscopic features were noted to suspect a Squamous Cell Carcinoma, Pyogenic Granuloma or even an Amelanotic Melanoma.The patient was referred for a surgical excision and the biopsy results confirmed only the presence of exuberant granulation tissue over the scar.