title: Hydrofluoric acid exposure: a case report and review on the clinical presentation and management.
abstract: Exposure to hydrofluoric acid can cause severe skin damage via both corrosive and chemical means. Dermatologists should be aware of the various clinical presentations and knowledgeable of how to manage such patients. A case of a man with exposure of the hands after use of a consumer product containing hydrofluoric acid is presented. The presentation may vary depending on the concentration and duration of exposure. Patients experiencing exposure are at risk of serious complications, including death, resulting from electrolyte abnormalities. Information regarding the source of exposure will allow the physician to better predict the patient's course. The use of immediate flushing with water and the use of topical calcium gluconate can prevent extensive damage to the area of exposure and potentially fatal complications that may occur. More extensive burns may necessitate more invasive therapies. The treatment and the management and monitoring of such cases will allow for more optimal outcomes.
authors.affiliation: Indiana University School of Medicine, Indianapolis, IN, USA. mstrausb@iupui.edu
authors.forename: Matthew
authors.initials: M
authors.lastname: Strausburg
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Travers
authors.forename: Nico
authors.initials: N
authors.lastname: Mousdicas
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D002057:Burns, Chemical / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology*; D002125:Calcium Gluconate / Q000627:therapeutic use*; D005385:Fingers; D006795:Household Products / Q000009:adverse effects; D006801:Humans; D006858:Hydrofluoric Acid / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011356:Product Labeling
chemical_list: D000700:Analgesics; D006858:Hydrofluoric Acid; D002125:Calcium Gluconate