[libribook.com] Traumatic Scar Tissue Management 1st Edition

16.06.2020 Views

treatment strategies are difficult to establish. Patel and Yosipovitch (2010) citethat there is no universally accepted treatment protocol for pruritus andmanagement is to be tailored based on an individualistic approach.Recent findings suggest that itching associated with inflammatory dermatosiscan be reduced by antihistamines (Cheng et al. 2011). However, antihistaminesare not effective for all presentations of pruritus associated with hypertrophicscars in post-burn patients. Opioid receptors in skin – when activated – can alsoprovoke itching (Cheng et al. 2011).Persistent or frequently intense bouts of pruritus can impact quality of life asdisturbances in sleep, concentration and social interactions can occur(Yosipovitch et al. 2000, 2002a, 2002b).

Clinical ConsiderationBurn rehabilitation MT has been shown to be effective in improving pain,pruritus, depression and scar characteristics in hypertrophic scars in postburnpatients (Roh et al. 2007, Cho et al. 2014).

treatment strategies are difficult to establish. Patel and Yosipovitch (2010) cite

that there is no universally accepted treatment protocol for pruritus and

management is to be tailored based on an individualistic approach.

Recent findings suggest that itching associated with inflammatory dermatosis

can be reduced by antihistamines (Cheng et al. 2011). However, antihistamines

are not effective for all presentations of pruritus associated with hypertrophic

scars in post-burn patients. Opioid receptors in skin – when activated – can also

provoke itching (Cheng et al. 2011).

Persistent or frequently intense bouts of pruritus can impact quality of life as

disturbances in sleep, concentration and social interactions can occur

(Yosipovitch et al. 2000, 2002a, 2002b).

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