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    Subjects/Pathology/Wound Healing — Phases and Collagen Types
    Wound Healing — Phases and Collagen Types
    medium
    microscope Pathology

    A 32-year-old Indian male presents with a laceration to his forearm sustained 6 weeks ago. On examination, the wound has healed but the scar is notably widened, atrophic, and has a characteristic "cigarette paper" appearance. His medical history reveals hypermobile joints and hyperextensible skin. The phase of wound healing marked **C** in the diagram involves replacement of weaker collagen with stronger collagen. Which of the following best explains the poor scar quality in this patient?

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