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Abstract
result of excess collagen deposition. It maps present for months while
keloid scars, which may never regress over time. This is a cross-sectional
study that was performed at AlNasiriya Teaching Hospital in Thi-Qar
Province during the period from November 1, 2024, to February 1, 2025.
The goal was to determine the incidence and functional characteristics of
hypertrophic scars in burn patients. Structured interviews and a
questionnaire-based form were used for data collection, including
demographic data and evaluation of burn injuries (burn cause, burn
severity, location, signs and symptoms, hypertrophic scar formation, and
treatment interventions). A total of 20 subjects were included in the study,
with 10 subjects per age range (15–30 years and 31–50 years). 60% of the
sample was male, and 55% of participants were from rural regions. The
most frequent injury was a thermal burn (70%), followed by oil burns
(20%) and chemical burns (10%). The most common site for scars was
the lower limb (30%). These findings illustrate the clinical features and
demographic variables of burn injuries in the study population. The
majority were second-degree burns. The most frequent site of scarring
was the lower limb and pruritus developed as the most frequent symptom.
Keywords
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Copyright (c) 2025 Rabab Abbas Hasan
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- Bombaro KM, Engrav LH, Carragher GJ, et al. What is the prevalence of hypertrophic scarring following burns? Burns.
- ;29(4):299- 302[Aarabi S, Longaker MT, Gurtner GC. Hypertrophic scar formation following burns and trauma: New
- approaches to treatment. PLoS Medicine. 2017;4:1464-1470
- Wolfram D, Tzankov A, Pülzl P, Piza-Katzer H. Hypertrophic scars
- and keloids—A review of their pathophysiology, risk factors, and therapeutic management. Dermatologic Surgery. 2019;35:171
- Bell L, McAdams T, Morgan R,et al. Pruritus in burns: A descriptive study. The Journal of Burn Care & Rehabilitation.
- ;9:305
- Slemp AE, Kirschner RE. Keloids and scars: A review of keloids and scars, their pathogenesis, risk factors, and management.
- Current Opinion in Pediatrics. 2022;18:396
- Anthonissen M, Daly D, Janssens T, Van den Kerckhove E. The effects of conservative treatments on burn scars: A systematic
- review. Burns. 2016;42(3):508-518
- Rabello FB, Souza CD, Farina Júnior JA. Update on hypertrophic scar treatment. Clinics (São Paulo, Brazil). 2014;69(8):565-573
- Nedelec B, Correa JA, de Oliveira A, LaSalle L, Perrault I. Longitudinal burn scar quantification. Burns. 2014;40(8):1504-1512
- Van den Kerckhove E, Stappaerts K, Fieuws S, Laperre J, Massage P, Flour M, et al. The assessment of erythema and thickness on
- burn related scars during pressure garment therapy as a preventive measure for hypertrophic scarring. Burns. 2015;31(6):696-702
- Bock O, Schmid-Ott G, Malewski P, Mrowietz U. Quality of life of patients with keloid and hypertrophic scarring. Archives of
- Dermatological Research. 2013;297(10):433-438
- Robert R, Meyer W, Bishop S, Rosenberg L, Murphy L, Blakeney P.Disfiguring burn scars and adolescent self-esteem. Burns.
- ;25:581
- Taal L, Faber AW. Posttraumatic stress and maladjustment among adult burn survivors 1 to 2 years postburn. Part II: The
- interview data. Burns. 1998;24:399
- Gauglitz, G. G., Korting, H. C., Pavicic, T., Ruzicka, T., & Jeschke,M. G. (2011). Hypertrophic scarring and keloids:
- Pathomechanisms and current and emerging treatment strategies. Molecular Medicine, 17(1-2), 113–125.
- Zuo, K. J., Jeschke, M. G., & Shekhar Pandeya, P. (2017). The Incidence and Risk Factors for Hypertrophic Scarring After Burn
- Injuries: A Systematic Review. Journal of Plastic, Reconstructive & Aesthetic Surgery, 70(6), 783–791.
- Bloemen, M. C., van der Veer, W. M., Ulrich, M. M., Niessen, F. B., & Middelkoop, E. (2009). Prevention and curative
- management of hypertrophic scar formation. Burns, 35(4), 463–475.
- Finnerty, C. C., Jeschke, M. G., Branski, L. K., Barret, J. P., Dziewulski, P., & Herndon, D. N. (2016). Hypertrophic scarring:
- The greatest unmet challenge after burn injury. The Lancet, 388(10052), 1427–1436.
- Bayat, A., McGrouther, D. A., & Ferguson, M. W. (2012). Skin scarring. BMJ, 344, e1871.
References
Bombaro KM, Engrav LH, Carragher GJ, et al. What is the prevalence of hypertrophic scarring following burns? Burns.
;29(4):299- 302[Aarabi S, Longaker MT, Gurtner GC. Hypertrophic scar formation following burns and trauma: New
approaches to treatment. PLoS Medicine. 2017;4:1464-1470
Wolfram D, Tzankov A, Pülzl P, Piza-Katzer H. Hypertrophic scars
and keloids—A review of their pathophysiology, risk factors, and therapeutic management. Dermatologic Surgery. 2019;35:171
Bell L, McAdams T, Morgan R,et al. Pruritus in burns: A descriptive study. The Journal of Burn Care & Rehabilitation.
;9:305
Slemp AE, Kirschner RE. Keloids and scars: A review of keloids and scars, their pathogenesis, risk factors, and management.
Current Opinion in Pediatrics. 2022;18:396
Anthonissen M, Daly D, Janssens T, Van den Kerckhove E. The effects of conservative treatments on burn scars: A systematic
review. Burns. 2016;42(3):508-518
Rabello FB, Souza CD, Farina Júnior JA. Update on hypertrophic scar treatment. Clinics (São Paulo, Brazil). 2014;69(8):565-573
Nedelec B, Correa JA, de Oliveira A, LaSalle L, Perrault I. Longitudinal burn scar quantification. Burns. 2014;40(8):1504-1512
Van den Kerckhove E, Stappaerts K, Fieuws S, Laperre J, Massage P, Flour M, et al. The assessment of erythema and thickness on
burn related scars during pressure garment therapy as a preventive measure for hypertrophic scarring. Burns. 2015;31(6):696-702
Bock O, Schmid-Ott G, Malewski P, Mrowietz U. Quality of life of patients with keloid and hypertrophic scarring. Archives of
Dermatological Research. 2013;297(10):433-438
Robert R, Meyer W, Bishop S, Rosenberg L, Murphy L, Blakeney P.Disfiguring burn scars and adolescent self-esteem. Burns.
;25:581
Taal L, Faber AW. Posttraumatic stress and maladjustment among adult burn survivors 1 to 2 years postburn. Part II: The
interview data. Burns. 1998;24:399
Gauglitz, G. G., Korting, H. C., Pavicic, T., Ruzicka, T., & Jeschke,M. G. (2011). Hypertrophic scarring and keloids:
Pathomechanisms and current and emerging treatment strategies. Molecular Medicine, 17(1-2), 113–125.
Zuo, K. J., Jeschke, M. G., & Shekhar Pandeya, P. (2017). The Incidence and Risk Factors for Hypertrophic Scarring After Burn
Injuries: A Systematic Review. Journal of Plastic, Reconstructive & Aesthetic Surgery, 70(6), 783–791.
Bloemen, M. C., van der Veer, W. M., Ulrich, M. M., Niessen, F. B., & Middelkoop, E. (2009). Prevention and curative
management of hypertrophic scar formation. Burns, 35(4), 463–475.
Finnerty, C. C., Jeschke, M. G., Branski, L. K., Barret, J. P., Dziewulski, P., & Herndon, D. N. (2016). Hypertrophic scarring:
The greatest unmet challenge after burn injury. The Lancet, 388(10052), 1427–1436.
Bayat, A., McGrouther, D. A., & Ferguson, M. W. (2012). Skin scarring. BMJ, 344, e1871.