Acute Kidney Injury Following Chemical Burns Caused by Hexavalent Chromium.
- Author:
Yeonhee LEE
1
;
Yeonsil YU
;
Jung Nam AN
;
Jung Pyo LEE
;
Chun Soo LIM
;
Yun Kyu OH
Author Information
- Publication Type:Case Report
- Keywords: Chromium; Acute kidney injury; Burns, Chemical
- MeSH: Acute Kidney Injury*; Body Surface Area; Burns; Burns, Chemical*; Chromium*; Creatinine; Dialysis; Gastroenteritis; Humans; Middle Aged; Necrosis; Oliguria; Renal Dialysis; Renal Insufficiency; Skin; Skin Ulcer
- From:Korean Journal of Medicine 2017;92(1):70-73
- CountryRepublic of Korea
- Language:Korean
- Abstract: The metal chromium is widely used in industry. Hexavalent chromium is a strong oxidizing agent, and exposure to some hexavalent compounds can cause serious problems, such as skin ulcers, acute gastroenteritis, acute tubular necrosis with renal failure, and hepatic necrosis. We report a case of acute kidney injury following skin exposure to hexavalent chromium, which burned a relatively small percentage of the total body surface area (TBSA). A 49-year-old man developed oliguria and acute kidney injury 3 days after burning about 5% of his TBSA with chromic acid solution, causing second-to third-degree chemical burns. His creatinine level increased to 12.5 mg/dL. The patient underwent hemodialysis with supportive care. His renal function improved and the dialysis was discontinued. The serum and urine chromium concentrations also decreased.
