{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T12:14:00Z","timestamp":1762604040103,"version":"3.38.0"},"reference-count":0,"publisher":"University of Toronto Press Inc. (UTPress)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical and Investigative Medicine"],"published-print":{"date-parts":[[2009,4,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Atherosclerosis, a response to injury, may be thought of as scarring in the artery wall. TGF-? and associated signaling molecules have been implicated in the pathophysiology of keloid scarring, Dupuytren\u2019s Contracture and atherosclerotic plaques in independent studies. <\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p> To test the hypothesis that excess cutaneous scarring and Dupuytren\u2019s contractures predispose independently to carotid atherosclerosis . <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Among 1,747 patients with plaque measurements and complete data for multivariable regression analysis, 57 Caucasian patients had Dupuytren\u2019s contractures and 12 had keloid scars. Carotid total plaque area (TPA) was measured by 2-Dimensional ultrasound. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> In linear multivariable regression analysis with coronary risk factors, keloid scars were associated with TPA (P= 0.018), but Dupuytren\u2019s contractures were not. Patients with keloid scarring were younger (P &lt; 0.0001), and more likely to be diabetic (P &lt; 0.0001) <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Keloid scarring is a clinical clue to excess atherosclerosis not explained by traditional risk factors. Such patients may benefit from therapy directed at targets related to signalling molecules common to both the process of keloid scarring and atherosclerosis. These findings suggest previously unexplored possibilities for the prevention and treatment of atherosclerosis. The differences between Dupuytren\u2019s and keloid scars that may identify such targets are discussed. <\/jats:p><\/jats:sec>","DOI":"10.25011\/cim.v32i2.6026","type":"journal-article","created":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T23:23:03Z","timestamp":1493767383000},"page":"E95-E102","source":"Crossref","is-referenced-by-count":5,"title":["Keloid scarring, but not Dupuytren\u2019s contracture, is associated with unexplained carotid atherosclerosis"],"prefix":"10.3138","volume":"32","author":[{"given":"Sankalp","family":"Bhavsar","sequence":"first","affiliation":[{"name":"Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Nimigan","sequence":"additional","affiliation":[{"name":"Hand and Upper Limb Centre, St Joseph\u2019s Hospital, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel G","family":"Hackam","sequence":"additional","affiliation":[{"name":"Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B","family":"O'Gorman","sequence":"additional","affiliation":[{"name":"Hand and Upper Limb Centre, St Joseph\u2019s Hospital, London, Canada"},{"name":"Lawson Health Research Institute, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bing Siang","family":"Gan","sequence":"additional","affiliation":[{"name":"Hand and Upper Limb Centre, St Joseph\u2019s Hospital, London, Canada"},{"name":"Lawson Health Research Institute, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J David","family":"Spence","sequence":"additional","affiliation":[{"name":"Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute, London, Canada"},{"name":"Lawson Health Research Institute, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1696","container-title":["Clinical and Investigative Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/cimonline.ca\/index.php\/cim\/article\/viewFile\/6026\/2961","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cimonline.ca\/index.php\/cim\/article\/viewFile\/6026\/3581","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/utppublishing.com\/doi\/pdf\/10.25011\/cim.v32i2.6026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T18:10:59Z","timestamp":1741889459000},"score":1,"resource":{"primary":{"URL":"https:\/\/utppublishing.com\/doi\/10.25011\/cim.v32i2.6026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,4,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,4,1]]}},"alternative-id":["10.25011\/cim.v32i2.6026"],"URL":"https:\/\/doi.org\/10.25011\/cim.v32i2.6026","relation":{},"ISSN":["1488-2353"],"issn-type":[{"type":"electronic","value":"1488-2353"}],"subject":[],"published":{"date-parts":[[2009,4,1]]}}}