[Chromic acid burns: systematic prevention of systemic toxicity].
Chromic acid burns can lead to systemic toxicity by cutaneous absorption of the chrome seen surfaces more than 1% of the total body surface area. In order to illustrate the necessity of anticipate systematically this toxicity by a specific treatment, we describe the case of a patient with systemic toxicity in the least severe situation of chromic acid burn: the chromic acid was diluted to 0,02%, the burn was superficial second degree, both thermic and chemical, on the forearm, and extended only to 1% of the total body surface area. In spite of the specific treatment, our patient had a blood transfer of the chrome, however without any consequences on the renal and hepatic functions. He cicatrised in 2 weeks, and his blood and urinary chromium levels were normalised in 3 weeks. Without this specific early treatment, what would have been the consequences of a systemic toxicity even more important?
Boloorchi
A
A
Service de chirurgie plastique reconstructrice et esthétique, CHU Nord, place Victor-Pauchet, 80054 Amiens, France. armandboloorchi@gmail.com
Sinna
R
R
Benhaim
T
T
Gobel
F
F
Robbe
M
M
D000328:Adult; D002057:Burns, Chemical / Q000209:etiology* / Q000517:prevention & control*; D002840:Chromates / Q000009:adverse effects* / Q000097:blood / Q000652:urine; D006801:Humans; D008297:Male; D012867:Skin / Q000378:metabolism
D002840:Chromates