A case of skin ulcers secondary to extensive burns caused by flame and heavy metal-containing hydrothermal fluids.
10.3760/cma.j.cn501120-20211115-00386
- VernacularTitle:火焰及含重金属热液致大面积烧伤创面继发皮肤溃疡1例
- Author:
Hong Fei DONG
1
;
Xi HUANG
1
;
Ji You WU
1
;
Xian Hui LI
1
Author Information
1. Department of Burn Plastic Surgery, General Hospital of Western Theater Command, Chengdu 610083, China.
- Publication Type:Journal Article
- MeSH:
Male;
Humans;
Middle Aged;
Wound Healing;
Treatment Outcome;
Burns/surgery*;
Skin Transplantation;
Skin Ulcer;
Metals, Heavy
- From:
Chinese Journal of Burns
2023;39(1):71-74
- CountryChina
- Language:Chinese
-
Abstract:
On May 13, 2020, a 56-year-old man with extensive burns caused by flames and heavy metal-containing hydrothermal fluids was admitted to the General Hospital of Western Theater Command. After being admitted to the hospital, most of the burn wounds healed after treatments such as debridement, expansion, skin grafting, anti-shock, anti-infection, fluid replacement, and wound dressing change, etc. However, in the middle and late stages of treatment, the patient's burn wounds gradually showed repeated skin ulceration and inflammation. After excluding the cause of physical, bacterial infection and others, IgG4-related skin diseases was finally diagnosed by histopathological examination of tissue biopsy and concentration measurement of IgG4 in interstitial fluid, and the condition was improved after hormone treatment. This suggests that extensive burns may lead to the occurrence of autoimmune skin diseases. For the diagnosis of such diseases, it is necessary to combine clinical manifestations, serological examinations, and histopathological biopsy, etc. to avoid diagnostic pitfalls and draw correct conclusions.
