[The problem of caustic poisoning in children].
The exposure to caustic substances in childhood, being accidental in most cases, can cause doubts in the initial diagnostic therapeutic approach; the risk of missing lesions following caustic ingestion when symptoms are scarce or lacking is high. The paper provides an overview of the physiopathology and clinical presentation of caustic injuries and stress the possibility of burns of esophagus and/or stomach even without oropharyngeal symptoms and/or signs. The esophagogastroduodenoscopy has now an essential role in the evaluation of gastrointestinal tract injury, as a guide to the therapy and as a prognostic criterion. So it is possible to reduce the risk of poor outcomes by the appropriate treatment. Anyway the primary prevention against the exposition to caustic substances at home is fundamental and must be effected both through active and passive measures.
Marchi
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AG
Servizio di Accettazione, Pronto Soccorso Primo Accoglimento Istituto per l'Infanzia, Trieste, Italia.
Torre
G
G
Pineschi
A
A
Franco
D
D
Dusi
A
A
Trevisan
M
M
Perini
R
R
D000293:Adolescent; D002057:Burns, Chemical / Q000473:pathology / Q000517:prevention & control / Q000628:therapy; D002424:Caustics / Q000506:poisoning*; D002648:Child; D002675:Child, Preschool; D004947:Esophagus / Q000293:injuries*; D005126:Eye Burns / Q000139:chemically induced; D006801:Humans; D007223:Infant; D012867:Skin / Q000293:injuries; D013270:Stomach / Q000293:injuries*
D002424:Caustics
Approccio al problema degli avvelenamenti da caustici nel bambino.