Wounds resulting from intradermal injection of sodium hypochlorite: a case report.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2024-12-01

Stephano Cedirian, Alessio Natale, Yuri Merli, Cosimo Misciali, Bianca Maria Piraccini, Michela Starace

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引用次数: 0

Abstract

Background: Caustic substances can inflict severe damage on tissues upon contact. Knowledge about skin damage caused by sodium hypochlorite is quite limited, with only a few reports available in the literature.

Case report: A 79-year-old female with severe cognitive decline presented with multiple skin ulcerations that were covered by a blackish-greyish eschar and surrounded by a purple erythematous halo. During the medical examination, in a moment of clarity the patient confessed to self-inflicting the wounds through injections of bleach at night. Analysis of the liquid beneath the eschar from the ulcer swab and the histological examination confirmed the compatibility of lesions with the injection of sodium hypochlorite.

Conclusion: Intradermal injection of sodium hypochlorite can cause severe damage to the skin tissue, with rapid formation of ulcerations covered by a blackish-greyish eschar. The surrounding skin may have an erythematous, swollen appearance and a purple-colored halo around it. Moreover, for a patient with a neuropsychiatric medical history, negative laboratory findings, or irregular skin lesions, self-induced ulcerations should always be considered in the differential diagnosis.

本刊更多论文

皮下注射次氯酸钠致伤口1例。

背景：腐蚀性物质在接触时会对组织造成严重损伤。关于次氯酸钠引起的皮肤损伤的知识相当有限，文献中只有少数报道。病例报告：一名79岁女性，严重认知能力下降，表现为多处皮肤溃疡，被黑灰色的痂覆盖，周围有紫色红斑晕。在医学检查中，在清醒的时刻，病人承认自己在晚上注射漂白剂造成了伤口。从溃疡拭子中提取的痂下液体分析和组织学检查证实了病变与次氯酸钠注射的相容性。结论：皮下注射次氯酸钠可对皮肤组织造成严重损害，迅速形成溃疡，并覆盖黑灰色的痂。周围的皮肤可能有红斑、肿胀的外观，周围有紫色的光环。此外，对于有神经精神病史、阴性实验室检查结果或不规则皮肤病变的患者，应在鉴别诊断中考虑自燃性溃疡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.