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An old scar which is itching is suggestive that it has most likely turning into a keloidal scar.
Keloid is due to excessive formation of
collagen as part of the
wound healing process. Keloids are usually raised unlike normal scaring which is flat/level with the skin, are hard/ indurated and felt as a cord or knot on palpation.
Keloids are usually itchy.
The tendency to form keloids is inherited.
Keloids are best managed with intralesional
steroids e.g intralesional
triamcinolone acetonide, which is a depot injection.
The injection causes breakdown of the excessive collagen tissue present in keloidal scar, thereby causing them to flatten. The injection might be repeated after 3 weeks if required.
Other options are CO 2 Laser vaporization; 5-Florouracil (5-FU) Injection.
Symptoms such as itching and pain reduce considerably as the keloid begins to flattens.
You may visit a
dermatologist for more details and appropriate treatment.
Regards