Document Detail


An autopsy case of chemical burns by hydrochloric acid.
MedLine Citation:
PMID:  19269213     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 34-year-old man was discovered by his coworkers in a tank filled with 35% (w/w) hydrochloric acid. Despite undergoing intensive treatment, he died one and a half days later. An autopsy revealed generalized high tensity, overall grayish brown skin color, heavy gastric submucosal hemorrhage and heavy pulmonary edema. We concluded that death was caused by burn shock due to wide, generalized chemical burn. Microscopic investigation of the burn in the area with grayish brown skin considered coagulation necrosis of full-thickness of the skin (third-degree or deep burn), revealed that the burn was judged to cover the partial thickness of the skin (second-degree or dermal burn). These findings suggest that chemical burn by hydrochloric acid results in a change of skin color due to chemical reaction so that the appearance of the chemical burn is more severe than the degree assigned by histological examination.
Authors:
Shuji Kozawa; Eiji Kakizaki; Eri Muraoka; Hideki Koketsu; Mitsuru Setoyama; Nobuhiro Yukawa
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-06
Journal Detail:
Title:  Legal medicine (Tokyo, Japan)     Volume:  11 Suppl 1     ISSN:  1873-4162     ISO Abbreviation:  Leg Med (Tokyo)     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-26     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889186     Medline TA:  Leg Med (Tokyo)     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  S535-7     Citation Subset:  IM    
Affiliation:
Division of Legal Medicine, Department of Social Medicine, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake-cho, Miyazaki 889-1692, Japan. skozawa@med.miyazaki-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Accidents, Occupational
Adult
Burns, Chemical / etiology,  pathology*
Caustics / toxicity*
Forensic Pathology
Gastric Mucosa / pathology
Gastrointestinal Tract / pathology
Hemorrhage / pathology
Humans
Hydrochloric Acid / toxicity*
Lung / pathology
Male
Organ Size
Pleural Effusion / pathology
Pulmonary Edema / pathology
Respiratory System / pathology
Shock / etiology
Chemical
Reg. No./Substance:
0/Caustics; 7647-01-0/Hydrochloric Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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