Clinical and forensic signs related to chemical burns: A mechanistic approach

被引:25
作者
Dinis-Oliveira, Ricardo Jorge [1 ,2 ,3 ,4 ,5 ]
Carvalho, Felix [3 ]
Moreira, Roxana [2 ,5 ]
Proenca, Jorge Brandao [2 ]
Santos, Agostinho [1 ,4 ,6 ]
Duarte, Jose Alberto [7 ]
Bastos, Maria de Lourdes [3 ]
Magalhaes, Teresa [1 ,4 ,6 ]
机构
[1] Univ Porto, Dept Legal Med & Forens Sci, Fac Med, P-4050167 Oporto, Portugal
[2] Adv Inst Hlth Sci North ISCS N, IINFACTS Inst Res & Adv Training Hlth Sci & Techn, Dept Sci, CESPU,CRL, Gandra, Portugal
[3] Univ Porto, REQUIMTE, Toxicol Lab, Dept Biol Sci,Fac Pharm, P-4050167 Oporto, Portugal
[4] Ctr Forens Sci CENCIFOR, Coimbra, Portugal
[5] Univ Minho, Dept Biol, CBMA Ctr Mol & Environm Biol, Braga, Portugal
[6] Natl Inst Legal Med & Forens Sci, North Branch, Ip, Portugal
[7] Univ Porto, Fac Sport, CIAFEL, P-4050167 Oporto, Portugal
关键词
Chemical burns; Sulfuric acid; Hydrofluoric acid; Nitric acid; Hydrochloric acid (muriatic acid); Acetic acid and derivatives; Hydrogen sulphide; Sodium hydoxide (caustic soda); Calcium hydroxide (cement); Paraquat; Inflation and rupture of airbags; Povidone iodine; Chlorhexidine/alcohol; Laxatives; Vesicants; HYDROFLUORIC-ACID BURNS; WHITE PHOSPHORUS BURN; OF-THE-LITERATURE; SULFUR-DIOXIDE INHALATION; CAUSTIC SODA INGESTION; FULL-THICKNESS BURN; HYDROGEN-SULFIDE; POVIDONE-IODINE; MUSTARD GAS; CEMENT BURNS;
D O I
10.1016/j.burns.2014.09.002
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
This manuscript highlights and critically analyses clinical and forensic signs related to chemical burns. Signs that may lead to suspicion of a particular chemical are thoroughly discussed regarding its underlying mechanisms. Burns due to sulfuric, hydrofluoric, nitric, hydrochloric (muriatic) and acetic (including derivatives) acids, hydrogen sulphide, sodium (caustic soda) and calcium (cement) hydroxides, paraquat, burns after inflation and rupture of airbags, povidone iodine, chlorhexidine/alcohol (in preterm infants), laxatives, and vesicants (warfare agents), will be reviewed since these are the most common agents found in daily practice, for which relevant and timed information may be helpful in formulating an emergency treatment protocols and toxicological analysis. (C) 2014 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:658 / 679
页数:22
相关论文
共 198 条
  • [51] Clinical and forensic signs related to ethanol abuse: a mechanistic approach
    Dinis-Oliveira, Ricardo Jorge
    Magalhaes, Teresa
    Moreira, Roxana
    Proenca, Jorge Brandao
    Pontes, Helena
    Santos, Agostinho
    Duarte, Jose Alberto
    Carvalho, Felix
    [J]. TOXICOLOGY MECHANISMS AND METHODS, 2014, 24 (02) : 81 - 110
  • [52] Children Intoxications: What is Abuse and What is Not Abuse
    Dinis-Oliveira, Ricardo Jorge
    Magalhaes, Teresa
    [J]. TRAUMA VIOLENCE & ABUSE, 2013, 14 (02) : 113 - 132
  • [53] Dinis-Oliveira Ricardo Jorge, 2012, Curr Drug Abuse Rev, V5, P273
  • [54] Dinis-Oliveira Ricardo Jorge, 2012, Curr Drug Abuse Rev, V5, P64
  • [55] "Foam Cone" exuding from the mouth and nostrils following heroin overdose
    Dinis-Oliveira, Ricardo Jorge
    Santos, Agostinho
    Magalhaes, Teresa
    [J]. TOXICOLOGY MECHANISMS AND METHODS, 2012, 22 (02) : 159 - 160
  • [56] Bruxism after 3,4-methylenedioxymethamphetamine (ecstasy) abuse
    Dinis-Oliveira, Ricardo Jorge
    Caldas, Ines
    Carvalho, Felix
    Magalhaes, Teresa
    [J]. CLINICAL TOXICOLOGY, 2010, 48 (08) : 863 - 864
  • [57] Postmortem changes in carbon monoxide poisoning
    Dinis-Oliveira, Ricardo Jorge
    Carvalho, Felix
    Magalhaes, Teresa
    Santos, Agostinho
    [J]. CLINICAL TOXICOLOGY, 2010, 48 (07) : 762 - 763
  • [58] Postmortem Analyses Unveil the Poor Efficacy of Decontamination, Anti-Inflammatory and Immunosuppressive Therapies in Paraquat Human Intoxications
    Dinis-Oliveira, Ricardo Jorge
    de Pinho, Paula Guedes
    Santos, Liliana
    Teixeira, Helena
    Magalhaes, Teresa
    Santos, Agostinho
    Bastos, Maria de Lourdes
    Remiao, Fernando
    Duarte, Jose Alberto
    Carvalho, Felix
    [J]. PLOS ONE, 2009, 4 (09):
  • [59] A cocaine body packer case report: clinical and forensic aspects
    Dinis-Oliveira, Ricardo Jorge
    Magalhaes, Teresa
    Carvalho, Felix
    Santos, Agostinho
    [J]. CLINICAL TOXICOLOGY, 2009, 47 (06) : 590 - 591
  • [60] Systemic effects and skin injury after experimental dermal exposure to monochloroacetic acid
    Dote, T
    Kono, K
    Usuda, K
    Shimizu, H
    Tanimoto, Y
    Dote, E
    Hayashi, S
    [J]. TOXICOLOGY AND INDUSTRIAL HEALTH, 2003, 19 (7-10) : 165 - 169