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LETTERS
4 (
2
); 160-161

Author's Reply

Department of Dermatology and STD, VM Medical College and Safdarjang Hospital, New Delhi, India. E-mail:

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Disclaimer:
This article was originally published by Medknow Publications and was migrated to Scientific Scholar after the change of Publisher.

Sir,

We appreciate the interest shown in our article.[1] The scars were evaluated using the method of scar counting as already mentioned in the text. The ice pick scars were counted before treatment and recounted after treatment. The Leeds scoring pattern is a numerical count of scars translated into scores.[2] The ECCA system is also a numerical scoring system and takes into account all the types of scars.[3] The Global Acne Scarring Classification is a qualitative and subjective method and takes into account all types of scars.[4] This was not required in our case since we focussed only on the ice pick scars. We did a numerical scoring before and after treatment and translated it into a quartile system. As shown in Table 1, a reduction in scar count of >70% was excellent and a reduction in scar count between 50 and 70% was good. The assessment results of the improvement in the number of scars did not change at the end of the study period at 6 months. The table is representative of the study period. In one patient, there was reduced improvement in the subjective depth of the scars, which is mentioned in the paper. The patient who developed transient postinflammatory hyperpigmentation was Fitzpatrick type IV and improvement was in the 50–70% group.

Excellent improvement 3 months after the last treatment
Figure 1
Excellent improvement 3 months after the last treatment

Figures 2 and 3 are of different patients.[1] A figure with pre and post-treatment was submitted [Figure 1]. In the final publication, the post-treatment figure was inadvertently edited.

REFERENCES

  1. , , . An assessment of the efficacy and safety of CROSS technique with 100% TCA in the management of ice pick acne scars. J Cutan Aesthet Surg. 2010;3:93-6.
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  2. , , , . A clinical evaluation of acne scarring and its incidence. Clin Exper Dermatol. 1994;19:303-8.
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  3. , , , , , , . ECCA grading scale: An original validated acne scar grading scale for clinical practice in dermatology. Dermatology. 2007;214:46-51.
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  4. , , . Postacne scarring: A qualitative global scarring grading system. Dermatol Surg. 2006;32:1458-66.
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