Filigree burn of lightning: two case reports.

Area of Science:

• Electrophysics
• Dermatology
• Forensic Pathology

Background:

• Lightning is a potent atmospheric electrostatic discharge with extreme voltage.
• It poses significant risks, causing fatalities and injuries through various mechanisms like direct strikes and conduction.
• Lightning-induced injuries affect multiple organ systems, including skin, cardiovascular, neurological, and ophthalmic.

Observation:

• Filigree burns, a superficial and uncommon skin manifestation, are associated with lightning strikes.
• This study presents two cases of death attributed to lightning strikes, both exhibiting the rare filigree burn finding.
• The cases underscore the unusual presentations of lightning-related fatalities.

Findings:

• The presence of filigree burns in fatal lightning incidents is exceptionally rare.
• Detailed case reports and discussions on the pathophysiology and clinical significance of filigree burns in lightning fatalities.
• Analysis of the two cases provides insights into the specific injury patterns associated with rare lightning strike outcomes.

Implications:

• Increased awareness among medical professionals and forensic experts regarding filigree burns as a potential indicator of lightning strikes.
• Further research into the mechanisms underlying filigree burn formation in lightning incidents.
• Improved understanding of the spectrum of injuries caused by lightning, including rare dermatological findings.