J. Peter , S.-M. Maksan , K. Eichler , T.C. Schmandra , T. Schmitz-Rixen
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Hydrofluoric Acid Burn of the Hand – A Rare Emergency
Introduction
We report on successful endovascular treatment of a hydrofluoric acid burn to the hand.
Report
A worker complained of severe pain in the fingers D II to D V after injury with 60% hydrofluoric acid. A digital subtraction angiography showed vasospasm of the common palmar digital artery. We selectively applied 20% calcium gluconate intra-arterially.
After treatment all arteries were perfused. Alprostadil, acetylsalicylic acid and clopidogrel were administered in conjunction. Pain symptoms improved and sensory and motor functions were restored.
Discussion
Immediate angiography and intra-arterial application of calcium gluconate are recommended to treat hydrofluoric acid burn to a limb.