Acute percutaneous lactic acid poisoning in a child.
Percutaneous poisoning is quite rare, and in particular, topical lactic acid poisoning is even more so. We report a young girl with lamellar ichthyosis and symptoms of poisoning, with clinical signs of irritability, agitation, myoclonia, and difficulty in walking, accompanied by lactic acidosis as a result of the more frequent than recommended application of emollients containing lactic acid. The clinical symptoms resolved upon discontinuation of the topical treatment. Among the possible causes of metabolic acidosis, health care providers should be aware of the possibility of percutaneous poisoning.
Ramírez
Manuela Esteban
ME
Pediatrics Service, Integrated Pediatrics Unit, Emergency Section, Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. 35902mer@comb.es
Youseef
Wael Fasheh
WF
Romero
Roser Garrido
RG
Martínez
José María Quintillá
JM
González-Enseñat
Maria Antonia
MA
Vilaplana
Xavier Sanmartí
XS
Cubells
Carles Luaces
CL
D000140:Acidosis, Lactic / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D000279:Administration, Cutaneous; D005260:Female; D006801:Humans; D017490:Ichthyosis, Lamellar / Q000188:drug therapy; D007223:Infant; D019344:Lactic Acid / Q000008:administration & dosage* / Q000506:poisoning*
D019344:Lactic Acid