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Who is at risk for hypertrophic scars and keloids? A study of 6,249 patients reveals that hypertrophic scars and keloids are significantly more common in Black/African American individuals (OR=1.74, P<0.01) and associated with conditions like scarring alopecia , rosacea, atopic dermatitis, and acne. These findings suggest a potential link to melanocyte activity and shared inflammatory pathways, highlighting IL-4 and IL-13 as therapeutic targets. Discover how these insights could shape future treatments.