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Published on: May 16, 2019
[Chromic acid burns: systematic prevention of systemic toxicity]
A Boloorchi1, R Sinna, T Benhaim
1Service de chirurgie plastique reconstructrice et esthétique, CHU Nord, place Victor-Pauchet, 80054 Amiens, France. armandboloorchi@gmail.com
Summary
Even mild chromic acid burns (1% TBSA) can cause systemic toxicity. Early, specific treatment is crucial for managing chromium absorption and preventing severe health consequences.
Area of Science:
- Toxicology
- Dermatology
- Chemical Injury
Background:
- Chromic acid burns pose a risk of systemic toxicity through dermal absorption.
- Assessing the necessity of prompt, specific treatments for chromic acid-induced systemic toxicity is important.
Observation:
- A case study involved a patient with a superficial second-degree chromic acid burn (0.02% dilution, 1% total body surface area).
- Despite treatment, chromium transfer to the bloodstream occurred, but without renal or hepatic complications.
Findings:
- The patient's burn healed within two weeks.
- Blood and urinary chromium levels normalized within three weeks following specific treatment.
Implications:
- This case highlights the potential for systemic toxicity even in less severe chromic acid burns.
- Early, targeted treatment is vital for mitigating chromium absorption and potential organ damage.
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