Postburn Itch: A Review of the Literature.

Postburn Itch: A Review of the Literature. Wounds. 2018 Jan;30(1):E118-E124 Authors: Nedelec B, LaSalle L Abstract The problem of postburn itch has been underevaluated and undertreated in the past. However, recently published data have expanded the evidence base, which provides clinicians and their patients with new evaluation and treatment options that can help reduce and potentially eliminate the prolonged distress experienced by burn survivors faced with postburn itch. Although a gold standard evaluation method has not yet been agreed upon, there are a number of tools that have been published that clinicians can use for assessment. Epidemiological evidence has confirmed that the vast majority of both adult and pediatric burn survivors experience itch for years following injury. At discharge from the acute care hospital, 93% of burn survivors with major burn injuries report postburn itch that is still experienced by 44% of adult burn survivors 30 years postburn. Although larger surface area injuries are more likely to require a multimodal treatment approach to reduce the itch intensity as well as the episode duration and frequency, burn survivors with small surface area injuries also experience itch that needs to be addressed. A number of treatment protocols have been described that commonly call for concurrent administration of both pharmacological and nonpharmacological treatment approaches. These protocols provide clinicians with a structured, system...
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research

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Discussion Hypopigmentation can be worrisome for many families because of cosmesis and the worry that “something is wrong.” The normal natural changes in skin-tone over the year due to different light exposure and wide variations within individuals is not something that many people are aware of. Post-inflammatory hypopigmentation is a common cause of hypopigmentation. Vitiligo is the most common cause of depigmentation. Vitiligo is an acquired, depigmenting disorder with typical lesions appearing as milky white macules with distinct margins that are not scaly. Hair (including eyebrows and eyelashes) can be dep...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
This study followed the five internationally recommended steps for the adaptation process: translation, synthesis, back translation, assessment by an expert committee and pretesting process; besides, an evaluation of its practicability, acceptability and reliability was conducted. The pretest was carried out with thirty burn survivors – hospitalized or on outpatient follow-up – from two public hospitals in the state of São Paulo. Most burn survivors were male (18; 60%), aged at mean of 39.2 (SD = 11.1), with deep partial burn injuries (16; 59.3%), percentage of total burn surface area of 12.3 (...
Source: Burns - Category: Dermatology Source Type: research
Publication date: Available online 10 October 2018Source: Neuroscience LettersAuthor(s): Aurore Thibaut, Emily A. Ohrtman, Leon Morales-Quezada, Laura C. Simko, Colleen M. Ryan, Ross Zafonte, Jeffrey C. Schneider, Felipe FregniAbstractIt is still unclear whether chronic neuropathic pain and itch share similar neural mechanisms. They are two of the most commonly reported challenges following a burn injury and can be some of the most difficult to treat. Transcranial direct current stimulation (tDCS) has previously been studied as a method to modulate pain related neural circuits. Therefore, we aimed to test the effects of tD...
Source: Neuroscience Letters - Category: Neuroscience Source Type: research
CONCLUSIONS: Comparing between the groups treated with silver-based gel and fusidic acid cream, the authors found no inferiority in the outcomes or the prevalence of any complaints, and a superior effect on the prevention of wound itch using a silver-based gel. PMID: 30260319 [PubMed - as supplied by publisher]
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
Hand burns are unique in their functional, aesthetic and emotional impact on patients. Measuring the progress of a patient's ability to carry out essential and desired tasks, their emotional state, interaction with society as well as scar, pain and itch as...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news
Publication date: Available online 27 August 2018Source: BurnsAuthor(s): Sarah E. Bache, Edmund Fitzgerald O’Connor, Paul J.H. Drake, Bruce Philp, Peter DziewulskiAbstractHand burns are unique in their functional, aesthetic and emotional impact on patients. Measuring the progress of a patient’s ability to carry out essential and desired tasks, their emotional state, interaction with society as well as scar, pain and itch as their burn heals, has until now relied on the use of a combination of several different tools. We have developed a questionnaire specifically to address the multiple different aspects of the...
Source: Burns - Category: Dermatology Source Type: research
Shingles is a skin condition that is caused by the same virus that causes chickenpox. Shingles results in a painful rash that may also burn or itch. It typically appears on the torso but can develop on the face and affect the eyes. Treatments include antiviral drugs. Learn more about shingles on the face here.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Shingles Source Type: news
Background: Chronic pruritus is a common condition that carries a significant burden of disease and can be localized to certain body regions, such as in lichen simplex chronicus, post-burn pruritus, and multiple forms of neuropathic itch.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research
Publication date: Available online 30 July 2018Source: BurnsAuthor(s): Vetrichevvel Palanivelu, Siaavash Maghami, Hilary J. Wallace, Dulharie Wijeratne, Fiona M. Wood, Mark W. FearAbstractBurn scars can be associated with significant loss of cutaneous sensation, paresthesia and chronic pain. Long-term systemic changes in cutaneous innervation may contribute to these symptoms and dorsal root ganglia have been implicated in the development of chronic neuropathic pain. Therefore we hypothesized that changes in cutaneous innervation after burn injury may be mediated at the level of the dorsal root ganglia. Burn group rats (n&n...
Source: Burns - Category: Dermatology Source Type: research
This study replicates the predictive role of traumatic stress symptoms, which warrants further research. PMID: 29963682 [PubMed - indexed for MEDLINE]
Source: Acta Derm Venereol A... - Category: Dermatology Authors: Tags: Acta Derm Venereol Source Type: research
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