Acute percutaneous lactic acid poisoning in a child
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Published on: May 28, 2019
Manuela Esteban Ramírez1, Wael Fasheh Youseef, Roser Garrido Romero
1Pediatrics Service, Integrated Pediatrics Unit, Emergency Section, Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. 35902mer@comb.es
Abstract:
Percutaneous poisoning is quite rare, and in particular, topical lactic acid poisoning is even more so. We report a young girl with lamellar ichthyosis and symptoms of poisoning, with clinical signs of irritability, agitation, myoclonia, and difficulty in walking, accompanied by lactic acidosis as a result of the more frequent than recommended application of emollients containing lactic acid. The clinical symptoms resolved upon discontinuation of the topical treatment. Among the possible causes of metabolic acidosis, health care providers should be aware of the possibility of percutaneous poisoning.
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