Case series: New, effective, treatment choice for post-burn pruritus

© Journal of the Medical Association of 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 choi...

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Bibliographic Details
Main Authors: K. Chinaroonchai, P. Muangman
Other Authors: Faculty of Medicine, Siriraj Hospital, Mahidol University
Format: Article
Published: 2020
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/53795
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Institution: Mahidol University
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Summary:© Journal of the Medical Association of 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.