Importance of initial management and surgical treatment after hydrofluoric acid burn of the finger

Han, Hyun Ho; Kwon, Byung Yeun; Jung, Sung No; Moon, Suk‐Ho

doi:10.1016/j.burns.2016.07.031

Cited by 12 publications

(7 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…HFA has multiple mechanisms of injury ( Table 1), leading to the wide range of presentations. At high enough concentrations, HFA releases hydrogen ions, leading to visible tissue destruction, similar to other acid burns [1,4]. However, the majority of HFA burns are low concentration, and do not present with immediate corrosive destruction, and also may not have immediate pain [1].…”

Section: Discussionmentioning

confidence: 99%

“…Should the burn affect the hands or fingers, reduced motor activity, decreased sensitivity, and even ischemia may result from arterial vasospasm [2]. More dilute solutions (concentrations ranging from 20% to 50%) cause significant injury as well; however, symptoms may be delayed up to eight hours [4]. Lower concentrations (below 20% HFA) produce symptoms that tend to be delayed from 12 hours to up to several days after exposure, with no immediate pain [2].…”

Section: Table 1: Mechanisms Of Action Of Hydrofluoric Acid (Hfa)mentioning

confidence: 99%

See 1 more Smart Citation

Management of Hydrofluoric Acid Burns in the Emergency Department

Lippert

Desai

Falgiani

et al. 2020

Cureus

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Table 1: Mechanisms Of Action Of Hydrofluoric Acid (Hfa)mentioning

confidence: 99%

Management of Hydrofluoric Acid Burns in the Emergency Department

Lippert

Desai

Falgiani

et al. 2020

Cureus

View full text Add to dashboard Cite

“…59 The major features observed after acute exposure to HFA of the nail are eschar formation and necrotic skin around the nail, accompanied by a very intense burning sensation and pain. 60 The first step when treating limited HFA skin burns should be copious water irrigation. For primary treatment, the application of calcium gluconate gel (2.5%) is widely used, while calcium gluconate subcutaneous injection (5%) is helpful when initial care has been delayed.…”

Section: Hydrofluoric Acid Burnsmentioning

confidence: 99%

Painful nails: A practical approach to the diagnosis and management of painful nail conditions

et al. 2021

View full text Add to dashboard Cite

Because several nail disorders share similar clinical features, their diagnosis and management can be challenging to clinicians. The physical examination may disclose localized abnormalities or point to an underlying systemic disease, requiring additional workup. Furthermore, cosmetic distress and nail-related symptoms (e.g., tingling, stinging, numbness, and pain) are common factors that influence the patient's search for medical assistance. Nail pain (i.e., onychalgia) can accompany both localized and systemic pathology. Onychalgia can be acute or chronic according to the time of evolution; patients may describe it as intermittent or constant, and as a throbbing, burning, sharp, or shooting sensation denoting the nature of the pain. It may be exacerbated by colder temperatures, touch, and increased activity (e.g., manipulating objects, walking). We present four main groups of conditions that might cause nail pain: nail tumors, nail deformities, inflammatory or infectious diseases, and external or traumatic agents. Our article includes an overview of the clinical features, as well as diagnosis and management pearls for each entity. Physicians (dermatologists and nondermatologists) should be aware that abnormalities of the ungual and subungual space are not exclusive of dermatological disorders but may also be present in noncutaneous contexts.

show abstract

“…The skin blisters, if already formed, should be opened and necrotic tissue should be debrided as soon as possible, as early debridement may facilitate healing [ 59 ]. There are several chirurgical methods which can be used for the treatment of the severe HF dermal burns: escharotomy or fish-mouth fasciotomy followed by intravenous administration of prostaglandin in order to maintain maximal distal circulation [ 71 ], succeed by skin grafting (a split-thickness or full-thickness skin grafting) or flap transfer for wound closure and reconstruction [ 1 ]. In case of deep layer finger injuries of weight bearing portions such as finger pulp, a partial toe pulp-free flap should be performed to reconstruct the digits [ 71 ].…”

Section: Immediate Decontamination/ Neutralization Procedures and Homentioning

confidence: 99%

Hydrofluoric Acid: Burns and Systemic Toxicity, Protective Measures, Immediate and Hospital Medical Treatment

Valjakova

Korunoska-Stevkovska

Georgieva

et al. 2018

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND:Hydrofluoric acid is a commonly used chemical in many industrial branches, but it can also be found as an ingredient in household products such as cleaning agents. Possessing high corrosive potential, HF acid causes burns and tissue necrosis, while when absorbed and distributed through the bloodstream, its extremely high toxic potential is expressed. Acute symptoms are often followed by pain, particularly in the case of skin burns, which intensiveness does not often correlate with the expressiveness of the clinical findings. Even exposure to low-concentrated solutions or gasses, or low-doses of high-concentrated acid, may provoke delayed systemic disorder which may eventually have a lethal outcome.AIM:Therefore, having information regarding the possible hazardous effects of hydrofluoric acid usage, a variety of symptoms, as well as a treatment approach, is of great importance in the case of HF exposure.METHODS:Available scientific articles published in literature databases, scientific reports and governmental recommendations from the internet websites, written in English, using the following search terms “Hydrofluoric acid, skin burns, eye injury, ingestion, inhalation, systemic toxicity, decontamination, antidote, medical treatment” have been reviewed.RESULTS:This review is useful not only for physicians but for everyone who may come in contact with a person exposed to HF acid.CONCLUSION:It highlights the mechanism of action, presents the acute and chronic symptoms, personal and general protective measures and devices that should be used, as well as decontamination procedures, immediate, antidote and hospital medical treatment.

show abstract

Importance of initial management and surgical treatment after hydrofluoric acid burn of the finger

Cited by 12 publications

References 17 publications

Management of Hydrofluoric Acid Burns in the Emergency Department

Management of Hydrofluoric Acid Burns in the Emergency Department

Painful nails: A practical approach to the diagnosis and management of painful nail conditions

Hydrofluoric Acid: Burns and Systemic Toxicity, Protective Measures, Immediate and Hospital Medical Treatment

Contact Info

Product

Resources

About