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Chemical Skin Burns

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Abstract

Chemical skin burns are particularly common in industry, but they also occur in non-work-related environments. Occupationally induced chemical burns are frequently noticed when visiting and examining workers at their work sites. Corrosive chemicals used in hobbies are an increasing cause of skin burns. Disinfectants and cleansers are examples of household products which can cause chemical burns. However, in most cases, the cause of a chemical burn is obvious to the affected persons and damage is minimal and heals without medical care, so medical attention is not sought. Sometimes the chemical burns are severe and extensive, with the risk of complications and long-term disability. In the acute stage, there is a varying risk of systemic effects, including a fatal outcome, depending on exposure conditions and the incriminating agent. For these reasons it is important for the physician to have knowledge of corrosive chemicals as well as of chemical burns with regard to their clinical manifestations, specific medical treatments, and preventive measures.

This chapter is based on the chapter Chemical Skin Burns, written by M. Bruze and S. Fregert. In: T. Menné and H.I. Maibach (Eds.) Hand Eczema.

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References

  • Adams RM (1990) Cement burns. In: Adams RM (ed) Occupational skin disease, 2nd edn. Saunders, Philadelphia, pp 15–16

    Google Scholar 

  • Andersen KE (1990) Systemic toxicity from percutaneous absorption of industrial chemicals. In: Adams RM (ed) Occupational skin disease, 2nd edn. Saunders, Philadelphia, pp 73–88

    Google Scholar 

  • Anderson WJ, Anderson JR (1988) Hydrofluoric acid burns of the hand: mechanism of injury and treatment. J Hand Surg [Am] 13:52–57

    Article  CAS  Google Scholar 

  • Beausang E, Herbert K (1994) Burns from a dust explosion. Burns 20:551–552

    Article  PubMed  CAS  Google Scholar 

  • Biro L, Fisher AA, Price E (1974) Ethylene oxide burns. Arch Dermatol 110:924–925

    Article  PubMed  CAS  Google Scholar 

  • Bruze M, Dahlquist I, Gruvberger B (1990) Chemical burns and allergic contact dermatitis due to Kathon WT. Am J Contact Dermat 1:91–93

    Google Scholar 

  • Cartotto RC, Peters WJ, Neligan PC, et al. (1996) Chemical burns. Can J Surg 39:205–211

    PubMed  CAS  Google Scholar 

  • Chan TC, Williams SR, Clark RF (1995) Formic acid skin burns resulting in systemic toxicity. Ann Emerg Med 26:383–386

    Article  PubMed  CAS  Google Scholar 

  • Chick LR, Borah G (1990) Calcium carbonate gel therapy for hydrofluoric acid burns of the hand. Plast Reconstr Surg 86:935–940

    Article  PubMed  CAS  Google Scholar 

  • Corazza M, Bulciolu G, Spisani L, et al. (1997) Chemical burns following irritant contact with povidone-iodine. Contact Dermatitis 36:115–116

    Article  PubMed  CAS  Google Scholar 

  • Dunn BJ, MacKinnon MA, Knowlden NF, et al. (1992) Hydrofluoric acid dermal burns. An assessment of treatment efficacy using an experimental pig model. J Occup Environ Med 34:902–909

    CAS  Google Scholar 

  • Dunn BJ, MacKinnon MA, Knowlden NF, et al. (1996) Topical treatment for hydrofluoric acid dermal burns. Further assessment of efficacy using an experimental pig model J Occup Environ Med 38:507–514

    CAS  Google Scholar 

  • Eldad A, Chaouat M, Weinberg A, et al. (1992) Phosphorous pentachloride chemical burn — a slowly healing injury. Burns 18:340–341

    Article  PubMed  CAS  Google Scholar 

  • Eldad A, Simon GA (1991) The phosphorous burn — a preliminary comparative experimental study of various forms of treatment. Burns 17:198–200

    Article  PubMed  CAS  Google Scholar 

  • Eldad A, Wisoki M, Cohen H, et al. (1995) Phosphorous burns: evaluation of various modalities for primary treatment. J Burn Care Rehabil 16:49–55

    Article  PubMed  CAS  Google Scholar 

  • Erdmann D, Hussmann J, Kucan JO (1996) Treatment of a severe alkali burn. Burns 22:41–146

    Article  Google Scholar 

  • Fisher AA (1986) Chromate dermatitis and cement burns. In: Fisher AA (ed) Contact dermatitis, 3rd edn. Lea and Febiger, Philadelphia, pp 762–772

    Google Scholar 

  • Fisher AA (1990) Ethylene oxide (EO) burns. In: Adams RM (ed) Occupational skin disease, 2nd edn. Saunders, Philadelphia, pp 17–18

    Google Scholar 

  • Gelmetti C, Cecca E (1992) Caustic ulcers caused by calcium hydroxide in 2 adolescent football players. Contact Dermatitis 27:265–266

    Article  PubMed  CAS  Google Scholar 

  • Horch R, Spilker G, Stark GB (1994) Phenol burns and intoxications. Burns 20:45–50

    Article  PubMed  CAS  Google Scholar 

  • Kanerva L, Tarvainen K, Pinola A, et al. (1994) A single accidental exposure may result in a chemical burn, primary sensitization and allergic contact dermatitis. Contact Dermatitis 31:229–235

    Article  PubMed  CAS  Google Scholar 

  • Kaufman T, Ullmann Y, Har-Shai Y (1988) Phosphorus burns: a practical approach to local treatment. J Burn Care Rehabil 9:474–475

    Article  PubMed  CAS  Google Scholar 

  • Kirkpatrick JJ, Enion DS, Burd DA (1995) Hydrofluoric acid burns: a review. Burns 21:483–493

    Article  PubMed  CAS  Google Scholar 

  • Kuniyuki S, Oonishi H (1997) Chemical burn from acetic acid with deep ulceration. Contact Dermatitis 36:169–170

    Article  PubMed  CAS  Google Scholar 

  • Lane PR, Hogan DJ (1985) Chronic pain and scarring from cement burns. Arch Dermatol 121:368–369

    Article  PubMed  CAS  Google Scholar 

  • Lin CH, Yang JY (1992) Chemical burn with cresol intoxication and multiple organ failure. Burns 18:162–166

    Article  PubMed  CAS  Google Scholar 

  • Mathias CGT (1988) Post-traumatic eczema. Dermatol Clin 6:35–42

    PubMed  CAS  Google Scholar 

  • McGeown G (1984) Cement burns of the hands. Contact Dermatitis 10:246

    Article  PubMed  CAS  Google Scholar 

  • Morley SE, Humzah D, McGregor JC, et al. (1996) Cement-related burns. Burns 22:646–647

    Article  PubMed  CAS  Google Scholar 

  • Newman-Taylor AJ, Morris AJR (1991) Experience with mustard gas casualties. Lancet 337:242

    Article  PubMed  CAS  Google Scholar 

  • Onuba O, Essiet A (1986) Cement burns of the heels. Contact Dermatitis 14:325–326

    Article  PubMed  CAS  Google Scholar 

  • Ruhl CM, Park SJ, Danisa O, et al. (1994) A serious skin sulfur mustard burn from an artillery shell. J Emerg Med 12:159–166

    Article  PubMed  CAS  Google Scholar 

  • Sawhney CP, Kaushish R (1989) Acid and alkali burns: considerations in management. Burns 15:132–134

    Article  PubMed  CAS  Google Scholar 

  • Seyb ST, Noordhoek L, Botens S, et al. (1995) A study to determine the efficacy of treatments for hydrofluoric acid burns. J Burn Care Rehabil 16:253–257

    Article  PubMed  CAS  Google Scholar 

  • Shibata K, Yoshita Y, Matsumoto H (1994) Extensive chemical burns from toluene. Am J Emerg Med 12:353–355

    Article  PubMed  CAS  Google Scholar 

  • Smith WJ, Dunn MA (1991) Medical defense against blistering chemical warfare agents. Arch Dermatol 127:1207–1213

    Article  PubMed  CAS  Google Scholar 

  • Stewart CE (1985) Chemical skin burns. Am Fam Physician 31:149–157

    PubMed  CAS  Google Scholar 

  • Stoermer D, Wolz G (1983) Cement burns. Contact Dermatitis 9:421–422

    Article  PubMed  CAS  Google Scholar 

  • Sykes RA, Mani MM, Hiebert JM (1986) Chemical burns: retrospective review. J Burn Care Rehabil 7:343–347

    Article  PubMed  CAS  Google Scholar 

  • Terrill PJ, Gowar JP (1990) Chromic acid burns; beware, be aggressive, be watchful. Br J Plast Surg 43:699–701

    Article  PubMed  CAS  Google Scholar 

  • Tosti A, Peluso AM, Varotti C (1989) Skin burns due to transit-mixed Portland cement. Contact Dermatitis 21:58

    Article  PubMed  CAS  Google Scholar 

  • Vance MV (1990) Hydrofluoric acid (HF) burns. In: Adams RM (ed) Occupational skin disease, 2nd edn. Saunders, Philadelphia, pp 18–21

    Google Scholar 

  • White A, Joseet M (1990) Burns from iodine. Anaesthesia 45:75

    Article  PubMed  CAS  Google Scholar 

  • Wilkinson DS (1979) Discoid eczema as a consequence of contact with irritants. Contact Dermatitis 5:118–199

    Article  PubMed  CAS  Google Scholar 

  • Winemaker M, Douglas L, Peters W (1992) Combination alkali/ thermal burns caused by “black liquor” in the pulp and paper industry. Burns 18:68–70

    Article  PubMed  CAS  Google Scholar 

  • Yano K, Hata Y, Matsuka K, et al. (1994) Effects of washing with a neutralizing agent on alkaline skin injuries in an experimental model. Burns 20:36–39

    Article  PubMed  CAS  Google Scholar 

  • Zekri AMB, King WWK, Yeung R, et al. (1995) Acute mass burns caused by o-chlorobenzylidene malononitrile (CS) tear gas. Burns 21:586–589

    Article  PubMed  CAS  Google Scholar 

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© 2000 Springer-Verlag Berlin Heidelberg

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Bruze, M., Fregert, S., Gruvberger, B. (2000). Chemical Skin Burns. In: Kanerva, L., Wahlberg, J.E., Elsner, P., Maibach, H.I. (eds) Handbook of Occupational Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07677-4_38

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  • DOI: https://doi.org/10.1007/978-3-662-07677-4_38

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-07679-8

  • Online ISBN: 978-3-662-07677-4

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