scar

I have a question regarding the use of steroids in dermatology.  I know steroids are used to treat hypertrophic and keloid scars.  However, my question is; what types of steroids are used?  Are anabolic steroids used?  What would happen if someone used anabolic steroids to treat a hypertrophic scar?
thanks

[Dr Santos]

Hi,

Steroid injections have become a common treatment of problem scars. The steroid used for intralesional injection is triamcinolone. Triamcinolone injections have been the standard treatment to induce flattening, fading, and decreased symptomatology of hypertrophied scars. However, minor adverse effects of triamcinolone injections include hypopigmentation and subcutaneous atrophy.More favorable response to steroid injections is seen in the treatment of hypertrophic scars over keloids. You can read more about this through this link: http://www.emedicine.com/plastic/TOPIC537.HTM

Anabolic steroids, on the other hand, are a class of steroid hormones related to the hormone testosterone. This class is not used in treatment of scars. They increase protein synthesis within cells, which results in the buildup of cellular tissue, especially in muscles. Serious health risks can be produced by long-term use or excessive doses of anabolic steroids such as increased low-density lipoprotein and decreased high-density lipoprotein, acne, high blood pressure, liver damage, and dangerous changes in the structure of the left ventricle of the heart.

Take care and regards.