Post-burn Innervation
Conditions
Keywords
molecular factors, cutaneous innervation, skin biopsy, post-burn scar
Brief summary
The aim of this study is to understand why the regeneration of the cutaneous sensory nerve fibers is poor in post-burn scar. The presence or the lack of several molecular factors known to regulate neuronal cell development will be evaluate and compared within biopsies from healthy skin and post-burn scar.
Interventions
2 biopsies are done on the same patient : 20 cutaneous biopsies from post-burn scar and from healthy skin
Sponsors
Study design
Eligibility
Inclusion criteria
* Major patients * At least one year back deep burn (2nd and 3rd degrees), and allowing the comparison between the post-burn scar dermatome and the healthy opposite dermatome * Patients always followed in the service of Plastic surgery of the hospital of Brest * Informed consent and paper of the patient after information of the objective of the study and the protocol * Analog Visual scales for pain and/or pruritus (EVA): greater than or equal to 3 * Simple Verbal scales for the pain and/or the pruritus ( EVS): pain / pruritus moderated to intense * Membership to the Social Security
Exclusion criteria
* Allergy to xylocaine * Non-Caucasian patients * Treatments having an effect on the pain and/or the pruritus * Sun or UV exposure several days preceding or following the biopsies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of the differences of expression of genes coding for regulating proteins of the innervation | 6 months | To evaluate the differences of expression of genes coding for regulating proteins of the innervation on samples of healthy skins and post-burn scar. These biopsies will be removed from post-burn patients (at least one year after burn) and allowing the comparison between conflicting dermatomes: a healthy dermatome and a formerly burned dermatome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Validation of the difference of density of intra-epidermic nerve fibers | 6 months | To validate the existence of a difference of density of intra-epidermal nerve fibers between the healthy skins and the post-burn scar. |
Countries
France