Evidence map›Paper›PMID 40432707›Full record

ArticleHealth science reports2025

Unlocking Better Keloid Treatment: Corticosteroid, 5-Fluorouracil, and Hyaluronidase vs. Corticosteroid Alone - A Randomized Comparative Study.

Ala Ehsani, Fatemeh Lotfi, Alireza Firooz, Amirhoushang Ehsani, Zahra Razavi, Mahshid Sadat Ansari, Pedram Nourmohammadpour, Fatemeh Sima, Mina Koohian Mohammadabadi, Amirhossein Rahimnia

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ala EhsaniStudent Research Committee, Faculty of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran.
Fatemeh LotfiSchool of Medicine Iran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0009-0006-1999-7703
Alireza FiroozCenter for Research & Training in Skin Diseases & Leprosy Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0001-7274-4840
Amirhoushang EhsaniDepartment of Dermatology, Razi Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-5483-1163
Zahra RazaviDepartment of Dermatology, Razi Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-7241-7898
Mahshid Sadat AnsariDepartment of Dermatology, Razi Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0001-8586-2432
Pedram NourmohammadpourDepartment of Dermatology, Razi Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0003-2503-2968
Fatemeh SimaStudents' Scientific Research Center (SSRC) Tehran University of Medical Sciences Tehran Iran.
Mina Koohian MohammadabadiSchool of Medicine Iran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-0885-4604
Amirhossein RahimniaDepartment of Dermatology, Razi Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-4451-4930

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Keloids are challenging lesions to manage due to their resistance to treatment and high recurrence rates. This study evaluated the efficacy of an intralesional injection combining triamcinolone acetonide, 5-fluorouracil, and hyaluronidase compared with triamcinolone monotherapy in treating keloids. Methods: This single-blinded clinical trial involved 16 participants, block-randomized into two groups. The intervention group received intralesional injections of triamcinolone acetonide (0.2 cc of 40 mg/cc solution), 5-fluorouracil (0.4 cc of 250 mg/5cc vial), and hyaluronidase (0.2 cc equivalent to 300 IU). The control group received triamcinolone acetonide (0.2 cc of 40 mg/cc solution) with 0.6 cc lidocaine of 2%. Keloid characteristics were assessed before treatment, after three injections at 3-4-week intervals, and 2 months posttreatment. Results: Significant improvements were observed in both groups. However, the intervention group showed greater reductions in lesion height, pliability, and modified Vancouver scar scale scores compared to the control group. No complications resulted from our interventional injection during the study period, while telangiectasia occurred with triamcinolone monotherapy. Conclusion: These findings suggest that triple therapy was as effective as steroid monotherapy, with better outcomes in specific aspects of scar improvement and without side effects. Hyaluronidase could be promising for further research in this area.

Indexed as

5‐fluorouracilcorticosteroidshyaluronidasehypertrophic scarkeloid

Identifiers

PMID40432707
PMCPMC12106882

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.