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Topical Nitric Acid Burns: Initial Assessment and Management
Asmaa Laanaya1, Mehdi Ami Ali1, Amal Miqdadi1
1Emergency Department, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health and Sciences, Casablanca, Morocco.
Case Reports in Dermatological Medicine
|August 11, 2023
Summary
Nitric acid (NA) causes severe skin burns, often with a yellowish appearance. This case highlights a pathognomonic lesion and successful healing with proper wound care, including irrigation and specific dressings.
Area of Science:
- Chemistry
- Dermatology
- Toxicology
Background:
- Nitric acid (NA) is a highly corrosive industrial chemical.
- Skin contact with NA can result in severe chemical burns.
Observation:
- A case study of a 54-year-old man with a nitric acid burn is presented.
- The burn exhibited a pathognomonic skin lesion and healed completely.
Findings:
- The severity of NA burns depends on concentration, contact duration, and acid penetration.
- Characteristic yellowish hue is typical for these burns.
Implications:
- Proper wound management, including immediate irrigation and appropriate dressings (e.g., silver sulphadiazine), is crucial for healing.
- Maintaining a moist wound environment and preventing infection are key to successful outcomes for nitric acid burns.
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