A Tibetan adolescent girl suffered frostbite on the journey of pilgrimage: A case report.
10.1016/j.cjtee.2021.10.006
- Author:
Yue XIAO
1
,
2
;
Dan HAO
1
,
2
;
Yue XIN
1
,
2
;
Xian JIANG
1
,
3
Author Information
1. Department of Dermatology, West China Hospital, Sichuan University, Chengdu, 610041, China
2. Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology (CIII), Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, 610041, China.
3. Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology (CIII), Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, 610041, China. Electronic address: jennyxianj@163.com.
- Publication Type:Case Reports
- Keywords:
Adolescent;
Amputation;
Frostbite;
Tibet
- MeSH:
Adolescent;
Amputation;
China;
Female;
Frostbite/therapy*;
Humans;
Incidence;
Tibet
- From:
Chinese Journal of Traumatology
2022;25(3):184-186
- CountryChina
- Language:English
-
Abstract:
Frostbite in Southwestern China has been overlooked due to its low incidence, relatively mild temperature and lack of literature published before. However, it needs to be further studied for religious diversity and distinct geomorphology. In this article, we reported an 18-year-old Tibetan girl who suffered from blizzard attack during pilgrimage. Her feet and several fingers showed mummified gangrene upon physical examination with poor movement. She was diagnosed with 3rd to 4th degree of frostbite. The girl was given oral ibuprofen, debridement and other regular treatment daily, but she was eventually amputated due to insufficient thrombolytic management in primary hospital, delayed informing consent in the referral hospital and ethnic conflict between religion and guidelines. This case enriched the experience of managing complex frostbite in Tibetan population and alarms that efforts should be integrated to protect pilgrims and mountaineers in the Tibetan region.
