Why Does My Burn Scar Itch?

Why Does My Burn Scar Itch
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The intensity (how severe) and frequency (how often it occurs) of itching is not necessarily related to the size or depth of the burn, but itching can lead to scratching and opening of previously healed fragile skin. Itching is a normal part of the healing process, and most patients recovering from burns experience itching at some point during their recovery. Itching is part of the healing process, but scars can also become dry and itchy.

The skin color changes you see in the healing area are the result of the normal healing process. This occurs when the burn is deep and the healing elements of the skin may be disrupted and unable to cover the open wound. For burns that affect only the outer layers of the skin, the scar tissue disappears over time.

Doctors may use lasers to burn or damage the layer of skin beneath the scar to speed healing. When scars form, collagen fibers repair damaged skin and seal off exposed areas.

Both hypertrophic scars and keloids develop due to the overproduction of collagen during maturation (remodeling). Keloids are scars that grow beyond the original border of the wound, creating what appears to be a growth on the skin. Keloid scars are raised, shiny bumps that extend beyond the area of ​​the original burn.

In terms of wound depth, patients with dry skin and hypertrophic scarring were more likely to report itching within 24 months of the burn. Three months after the burn, patients with skin grafts showed an overall increase in pruritus, while patients who did not require skin grafts experienced a decrease in pruritus. It was found that transplanted wounds cause a higher average intensity of itching 3 months after the burn, but this difference disappears 12 months after the burn.

In patients with transplanted wounds, the intensity of itching increases between hospitalization and 3 months after the burn. Some features of the wound itself, such as dry skin and raised or thick welts, are also more associated with itching. Patients with thick scars who are young and have dry skin are more prone to post-burn pruritus (Carrougher et al, 2013).

Dry skin can cause scabs, which increase healing time and increase itching. Massaging the lotion into the skin and/or tapping it hard on the healed areas can help relieve itching. Promoting healthy skin healing whenever possible is an important step towards minimizing scarring and skin damage.

You can easily diagnose most scars yourself by looking at the area of ​​skin that has healed from the injury. However, scratching an itchy wound that is healing can cause scarring and prolong healing if you reopen the wound. It may be tempting to scratch an itchy burn wound or scar, but this is not the best solution in the long run.

In fact, scratching can damage delicate, healing skin, which is especially important for patients receiving skin grafts for burns. When a burn or wound heals, bacteria can enter and cause an infection. Old wounds caused by burns or contractures are often itchy after they heal because the skin over and near them tightens slightly as they heal. Usually developed after a burn, contracture scars cause the skin to thicken (pull together).

As the skin heals, scar tissue will develop and the skin will contract, causing muscle stiffness. A contracture scar can make movement difficult, especially when the scar penetrates muscles and nerves or occurs at a joint. The result is a scar from the burn, and it may not be possible to move the joint in the body as fully as it was before the injury.

During healing, the skin over the lesion and adjacent part changes shape as new collagen forms on one part of the body and a layer of skin forms on one part of the body, which stimulates the underlying nerves, causing itching. Your skin repairs itself by growing new tissue to close the wound and fill in any gaps caused by injury. You may need special stitches or bandages to hold the skin together while it heals.

Due to the absence of these glands in the scar and healing tissue, the skin will be dry, resulting in an itchy sensation that can be problematic and painful for the patient. Due to changes in the sweat glands, itching and abnormal sweating often occur as burns heal. Dryness of a healed wound, whether recent or old, also leads to itching. Chronic pruritus, medically defined as pruritus, is an almost universal problem in people recovering from severe burns, and chronic pruritus can become debilitating, interfering with daily activities.

Read also: Can Burn Scars Be Removed By Laser?

Itching, also known as itching, itching is unfortunately quite common among people who have suffered burns. Annotation Post-burn pruritus is an itch that occurs after a burn in the process of rehabilitation and healing of burn wounds. The molecules or mechanisms that cause neuropathic pruritus are also involved in the hypertrophy of burn scars, so hyperproliferative scars are more pruritic. Mast cells are increased in post-burn hypertrophic scars, and the thicker the scars, the more itching.

The scar may be itchier if there is a sudden change in weight or skin. While new scars are usually the itchiest, old scars can also itch, especially when there are changes in the skin, such as weight loss. Larger or more severe burns do not necessarily lead to increased scar itching. As a result, burn scar tissue is chronically dry and prone to itching due to a lack of hydration or lubrication, says Dr. Gabriel.

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