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					               BURN WOUND ITCH

Part 1   THE ITCHING BURN WOUND

Part 2   CASE STUDIES
                              Part II - CASE STUDIES


                                       Table of Contents

   Section 1    Burns taking about 3 weeks to heal

   Section 2    Donor Sites Taking about 3 weeks to Heal and Remaining Erythematous

   Section 3    3 Month Old Burn, 2 Month Old Burn

   Section 4    2 Month Old Burn

   Section 5    Donor Site 6 Weeks Old

   Section 6    12 Month Old Burn

   Section 7    14 Month Old Burn




                                         CASE STUDIES
Use of topical Prudoxin (5% Doxepin Cream) to treat itching and erythema in the healed burn wound



                               Pre & Post Measurements Made
                     Itch Scale 0-10               (10 being worst)

                      Erythema Scale                    0-normal color
                                                            1-pink
                                                             2-red
                                                        3-red to purple




                                                                                                    2
I. Burns Taking About 3 Weeks to Heal




         Red, raised, highly innervated                               Red, raised, itchy



                               Healed Burns Remaining Red and Raised




               High risk for itch                                         Red and itchy




                                    Buttock burn mid-deep dermal, itchy




                                                                                           3
II. Donor Sites Taking About 3 Weeks to Heal and Remaining Erythematous




III. 3 Month Old Burn, 2 Month Old Burn
                                                                          4
                               Healed Burns Remaining Red and Raised




There are also two distinct itch responses. The first is an itch that is well localized to the site of the
stimulus and persists only briefly after the stimulus is removed.
The second itch is a diffusely localized area surrounding a site of stimulus that does not itch spontaneously
but responds if intense itching when subjected a minor stimulus like the touch of clothes, warmth or
movement.
This is known as itch skin and is a well-described form of itch in the healed burn wound.
The situation is analogous to pain of the site of a pinprick and the pain sensation, called hyperalgesia if
the surrounding skin is to touch.


                                           3 Month Old Burn




      Pre-Prudoxin: Burn wound 3 months old                Post Prudoxin 2 weeks, itch - 2, erythema -1
               itch - 6, erythema -3




IV. 2 Month Old Burn


                                                                                                            5
Pre Prudoxin: Itch - 6, Erythema - 2
                                        Post Prudoxin 2 weeks Itch - 2 Erythema - 1




Pre-Prudoxin Itch - 6, Erythema - 2    Post-Prudoxin 2 weeks, Itch - 2, Erythema - 0.5




                                                                                         6
V. Donor Site 6 Weeks Old




      Pre Prudoxin: Itch - 6, Erythema - 2   Post Prudoxin 2 Weeks Itch - 2 Erythema - 0.5




                                                                                             7
VI: 12 Month Old Burn




             Pre-Doxepin (Prudoxin) Burn Wound 12 Months Old: Itch - 5, Erythema - 2




                        Post-Prudoxin - 30 minutes Itch - 2, Erythema - 1,
                        Plus less scar edema leading to less wound tension




                                                                                       8
VII: 14 Month Old Burn




   Pre Doxepin (Prudoxin) Itch - 6, Erythema - 2
                                                   Post Prudoxin - 1 Month Itch - 2 Erythema - 1




                                                                                                   9

				
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posted:11/20/2011
language:English
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