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Dermal fibrosis is excessive scarring of the skin, and is a result of a pathologic wound healing response.
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There is a wide spectrum of fibrotic skin diseases: scleroderma, nephrogenic fibrosing dermopathy, mixed connective tissue disease, scleromyxedema, scleredema, and eosinophilic fasciitis. Exposures to chemicals or physical agents are also potential causes of fibrotic skin disease.
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Dermal fibrosis may be driven by immune, autoimmune, and inflammatory mechanisms.
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The balance of collagen production and degradation by fibroblasts plays a critical role in the pathophysiology of fibrotic processes in the skin.
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Certain cytokines promote would healing and fibrosis, such as transforming growth factor-β (TGF-β) and interleukin-4 (IL-4), whereas others are antifibrotic, such as interferon-γ (IFN-γ) and transforming growth factor-α (TNF-α).
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Luzina, I.G., Atamas, S.P. (2008). Fibrotic Skin Diseases. In: Gaspari, A.A., Tyring, S.K. (eds) Clinical and Basic Immunodermatology. Springer, London. https://doi.org/10.1007/978-1-84800-165-7_41
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