Abstract
<jats:p>Burn injuries can result in life-threatening complications as well as morbid sequelae that significantly impair quality of life in the long term. Cutaneous sequelae are also among the causes of these long-term morbidities. Postburn pruritus is one of the most common and troublesome complications, arising from pruritogenic and neuropathic mechanisms. Although it is most prevalent at discharge, it can persist for years. Dyspigmentation, including postburn hypopigmentation and hyperpigmentation, which is particularly noticeable in darker skin phototypes, is another common complication that causes psychological distress. The lack of a standard treatment algorithm for postburn pruritus and dyspigmentation, despite consensus, remains another significant problem. Cutaneous malignancies, most commonly squamous cell carcinoma, can develop on wounds left to heal secondarily after burns. These cutaneous malignancies are called Marjolin’s ulcers and are important because they have a poor prognosis. This section summarizes the current pathophysiology of postburn pruritus, dyspigmentation, and malignancies, providing an evidence-based, practical assessment and management framework covering topical/systemic treatments, procedural approaches, and rehabilitation.</jats:p>