Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?

Keloids are a typical skin fibroproliferative disease that can cause severe aesthetic and functional concerns. Pain and pruritus are the most common clinical symptoms of keloids, but the mechanisms underlying these symptoms remain unclear. The peripheral nervous system plays a pivotal role in the tr...

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Main Authors: En Yang, Ruoqing Xu, Hanrui Zhang, Wenzheng Xia, Xin Huang, Tao Zan
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/13/3/663
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author En Yang
Ruoqing Xu
Hanrui Zhang
Wenzheng Xia
Xin Huang
Tao Zan
author_facet En Yang
Ruoqing Xu
Hanrui Zhang
Wenzheng Xia
Xin Huang
Tao Zan
author_sort En Yang
collection DOAJ
description Keloids are a typical skin fibroproliferative disease that can cause severe aesthetic and functional concerns. Pain and pruritus are the most common clinical symptoms of keloids, but the mechanisms underlying these symptoms remain unclear. The peripheral nervous system plays a pivotal role in the transmission of superficial sensation signals. Mounting evidence has shown potential correlations between disturbance in the peripheral nervous system and pain and pruritus in keloids. Here, we summarize the role of neurological dysfunction in the development of pain and pruritus, with a specific focus on neuroanatomical alterations, the dysfunction of sensory nerves, and neurogenic inflammation.
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publishDate 2025-03-01
publisher MDPI AG
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series Biomedicines
spelling doaj-art-fe99c02dfecf486eb6785015955ff3c62025-08-20T02:11:15ZengMDPI AGBiomedicines2227-90592025-03-0113366310.3390/biomedicines13030663Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?En Yang0Ruoqing Xu1Hanrui Zhang2Wenzheng Xia3Xin Huang4Tao Zan5Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200021, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200021, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200021, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200021, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200021, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200021, ChinaKeloids are a typical skin fibroproliferative disease that can cause severe aesthetic and functional concerns. Pain and pruritus are the most common clinical symptoms of keloids, but the mechanisms underlying these symptoms remain unclear. The peripheral nervous system plays a pivotal role in the transmission of superficial sensation signals. Mounting evidence has shown potential correlations between disturbance in the peripheral nervous system and pain and pruritus in keloids. Here, we summarize the role of neurological dysfunction in the development of pain and pruritus, with a specific focus on neuroanatomical alterations, the dysfunction of sensory nerves, and neurogenic inflammation.https://www.mdpi.com/2227-9059/13/3/663keloidprurituspainneurological dysfunctionSchwann cell
spellingShingle En Yang
Ruoqing Xu
Hanrui Zhang
Wenzheng Xia
Xin Huang
Tao Zan
Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?
Biomedicines
keloid
pruritus
pain
neurological dysfunction
Schwann cell
title Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?
title_full Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?
title_fullStr Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?
title_full_unstemmed Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?
title_short Deciphering Pain and Pruritus in Keloids from the Perspective of Neurological Dysfunction: Where Are We Now?
title_sort deciphering pain and pruritus in keloids from the perspective of neurological dysfunction where are we now
topic keloid
pruritus
pain
neurological dysfunction
Schwann cell
url https://www.mdpi.com/2227-9059/13/3/663
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