Scars and quality of life
Problematic scars can influence a patient’s quality of life in several ways.
Pain and irritation, such as an itch; recurrent wounds and ulcers can appear in unstable scars.
Color changes and thickness, depression or irregularity of the scarred skin.
Functional problems due to stiffness and contractures.
Chronic ulceration in a scar may be a sign of an aggressive malignancy (Marjolin’s ulcer). Scar assessment scales, including the patient’s perspective, can help you evaluate the quality of a scar and identify problems related to scars in a systematic manner.
Patient-reported scar assessment scales have revealed that itching and pain are often more problematic for patients than the appearance of the scar, emphasizing the value of these scales.