Is pruritis in burn wounds most severe immediately after the burn and lessens over time?

Pruritus, or itching, is a common and distressing symptom experienced by individuals with burn wounds. The belief that pruritus is most severe immediately after the burn and lessens over time aligns with clinical observations.

Initially, after a burn, the area may be more focused on pain, inflammation, and healing, causing discomfort and a distinct phase of recovery. As the wound begins to heal and the skin undergoes the process of regeneration, these symptoms may gradually stabilize, with pruritus becoming more pronounced during specific healing phases, particularly as the new skin forms and matures.

Research indicates that pruritus typically peaks during the healing process, especially as nerves regenerate and the skin is more sensitive. Over time, as the burn matures and the skin continues to restore its integrity, pruritus often does diminish, leading to an overall reduction in discomfort. Thus, the pattern of pruritus being most severe immediately after the burn and lessening as time progresses reflects a common trajectory in wound healing and symptomatology of burn injuries.