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Case Series: New, Effective, Treatment Choice for Post-Burn Pruritus

Chinaroonchai K, MD1, Muangman P, MD1

Affiliation : 1 Division of Trauma Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

Background : Pruritus following major burns affects the functional and psychological qualities of life of severe-injury survivors. The treatment for refractory cases is limited, with only fair outcomes.
Objective : This case series evaluated a new choice of treatment for post-burn pruritus cases. Materials and Methods: Severe, post-burn, pruritus cases at the Burns Unit of Siriraj Hospital were enrolled. A glycerin-based, highly concentrated, collagen lotion was applied in combination with an oral, anti-itching medication to treat severe, post-burn pruritus. Visual analog scale scores for itching, modified Vancouver Scar Scale scores, and the quality of life of all cases were compared pre- and post-treatment.
Results : Five severe, post-burn, pruritus cases participated in this study. After treatment, the subjects’ visual analog scores for itching, total itching hours, and quality of life improved.
Conclusion : A glycerin-based, highly concentrated, collagen lotion can improve the skin moisture balance, scar appearance, pruritus- symptom severity, and quality of life of severe post-burn pruritus cases.

Keywords : Post burn pruritus, Burn scar pruritus, Collagen lotion, Post burn pruritus treatment


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JMed Assoc Thai
MEDICAL ASSOCIATION OF THAILAND
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