Case study, continued


The injuries seen on the patient described here had occurred 2 weeks earlier and were determined to be superficial second-degree burns. The wound was intact, macular, painless, warm, dry, and approximately 2 cm to 3 cm in diameter. 


The patient was instructed to apply topical aloe vera cream twice daily. Aloe vera inhibits prostaglandin activity, decreases tissue ischemia from burns, promotes collagen synthesis, and disrupts the arachidonic pathway.17,18 The patient had received a Tdap immunization 1 year earlier. 



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She was referred to a counselor to be evaluated for low self-esteem and risk for further injury, but was also instructed to return to the primary-care provider for a recheck in 1 to 2 weeks. She was informed that the skin-color change could be permanent and was educated regarding the potential hazards of such “challenges.”