UPSC-CMS 2024 — Dermatology

Q: Which of the following are correct for managing hypertrophic scars? 1. Silicone gel sheeting 2. Intralesional steroid injections 3. Vitamin A gel applications 4. Laser treatment Select the answer using the code given below.

1, 2 and 4. ***1, 2 and 4*** - **Silicone gel sheeting**, **intralesional steroid injections**, and **laser treatment** are all established and effective methods for managing hypertrophic scars. - Silicone gel helps to hydrate the scar, reduce collagen synthesis, and decrease itching, while steroids reduce inflammation and collagen production, and lasers can help to improve scar texture and color. *1, 3 and 4* - This option incorrectly includes **Vitamin A gel applications** as a primary treatment. While retinoids can have some skin benefits, they are not a first-line or well-established treatment for hypertrophic scars. - **Silicone gel sheeting** and **laser treatment** are indeed effective, but the inclusion of Vitamin A makes this option less accurate. *1, 2 and 3* - This option also incorrectly includes **Vitamin A gel applications**. While **silicone gel sheeting** and **intralesional steroid injections** are effective, Vitamin A is not a standard treatment for hypertrophic scars. - The primary methods for managing hypertrophic scars focus on reducing collagen production and inflammation, which Vitamin A gel does not effectively address in this context. *2, 3 and 4* - This option correctly includes **intralesional steroid injections** and **laser treatment**, but it again incorrectly includes **Vitamin A gel applications** and omits **silicone gel sheeting**, which is a widely recommended and often first-line treatment. - Omitting **silicone gel sheeting** significantly weakens the effectiveness of this combination as a comprehensive management strategy. [Practice more Dermatology PYQs on OnCourse]

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Which of the following are correct for managing hypertrophic scars? 1. Silicone gel sheeting 2. Intralesional steroid injections 3. Vitamin A gel applications 4. Laser treatment Select the answer using the code given below.