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A rare case of failed healing in previously burned skin after a secondary burns

BACKGROUND: Patients presenting with large surface area burns are common in our practice; however, patients with a secondary large burn on pre-existing burn scars and grafts are rare and not reported. CASE PRESENTATION: We report on an unusual case of a patient sustaining a secondary large burn to a...

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Autores principales: Goldie, Stephen J., Parsons, Shaun, Menezes, Hana, Ives, Andrew, Cleland, Heather
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5713644/
https://www.ncbi.nlm.nih.gov/pubmed/29214186
http://dx.doi.org/10.1186/s41038-017-0099-3
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author Goldie, Stephen J.
Parsons, Shaun
Menezes, Hana
Ives, Andrew
Cleland, Heather
author_facet Goldie, Stephen J.
Parsons, Shaun
Menezes, Hana
Ives, Andrew
Cleland, Heather
author_sort Goldie, Stephen J.
collection PubMed
description BACKGROUND: Patients presenting with large surface area burns are common in our practice; however, patients with a secondary large burn on pre-existing burn scars and grafts are rare and not reported. CASE PRESENTATION: We report on an unusual case of a patient sustaining a secondary large burn to areas previously injured by a burn from a different mechanism. We discuss the potential implications when managing a case like this and suggest potential biological reasons why the skin may behave differently. Our patient was a 33-year-old man who presented with a 5% TBSA burn on skin scarred by a previous 40% total body surface area (TBSA) burn and skin grafts. Initially assessed as superficial partial thickness in depth, the wounds were treated conservatively with dressings; however, they failed to heal and became infected requiring surgical management. CONCLUSIONS: Burns sustained in areas of previous burn scars and grafts may behave differently to normal patterns of healing, requiring more aggressive management and surgical intervention at an early stage.
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spelling pubmed-57136442017-12-06 A rare case of failed healing in previously burned skin after a secondary burns Goldie, Stephen J. Parsons, Shaun Menezes, Hana Ives, Andrew Cleland, Heather Burns Trauma Case Report BACKGROUND: Patients presenting with large surface area burns are common in our practice; however, patients with a secondary large burn on pre-existing burn scars and grafts are rare and not reported. CASE PRESENTATION: We report on an unusual case of a patient sustaining a secondary large burn to areas previously injured by a burn from a different mechanism. We discuss the potential implications when managing a case like this and suggest potential biological reasons why the skin may behave differently. Our patient was a 33-year-old man who presented with a 5% TBSA burn on skin scarred by a previous 40% total body surface area (TBSA) burn and skin grafts. Initially assessed as superficial partial thickness in depth, the wounds were treated conservatively with dressings; however, they failed to heal and became infected requiring surgical management. CONCLUSIONS: Burns sustained in areas of previous burn scars and grafts may behave differently to normal patterns of healing, requiring more aggressive management and surgical intervention at an early stage. BioMed Central 2017-12-04 /pmc/articles/PMC5713644/ /pubmed/29214186 http://dx.doi.org/10.1186/s41038-017-0099-3 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Goldie, Stephen J.
Parsons, Shaun
Menezes, Hana
Ives, Andrew
Cleland, Heather
A rare case of failed healing in previously burned skin after a secondary burns
title A rare case of failed healing in previously burned skin after a secondary burns
title_full A rare case of failed healing in previously burned skin after a secondary burns
title_fullStr A rare case of failed healing in previously burned skin after a secondary burns
title_full_unstemmed A rare case of failed healing in previously burned skin after a secondary burns
title_short A rare case of failed healing in previously burned skin after a secondary burns
title_sort rare case of failed healing in previously burned skin after a secondary burns
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5713644/
https://www.ncbi.nlm.nih.gov/pubmed/29214186
http://dx.doi.org/10.1186/s41038-017-0099-3
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