Iatrogenic full-thickness chemical burns from monochloracetic acid.
A case of iatrogenic full-thickness chemical burns from monochloroacetic acid (MCA) crystal application is described, followed by a brief review of the relevant literature and discussion of both local and systemic problems that may be encountered with absorption of this chemical. We believe this to be the first reported case of full-thickness burns in association with MCA. The degree of injury and systemic side effects encountered as a procedure complication highlights the importance of using this chemical with care in any clinical setting. In addition, an apparent predilection of MCA for the germinal matrix as found in this case may further complicate reconstructive options for associated injuries.
Chapman
Thomas
T
Department of Plastic and Reconstructive Surgery, Derriford Hospital, Derriford, Plymouth, Devon, UK.
Mahadevan
Devendra
D
Mahajan
Ajay
A
Perez-Temprano
Alvaro
A
McDiarmid
James
J
D000085:Acetates / Q000009:adverse effects*; D000293:Adolescent; D002057:Burns, Chemical / Q000209:etiology* / Q000628:therapy; D005533:Foot Dermatoses / Q000188:drug therapy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D014034:Toes; D014860:Warts / Q000188:drug therapy
D000085:Acetates; C006972:chloroacetic acid