Two Cases of Chemical Burns Caused by Kerosene Immersion Treated with Conservative Management

Abstract

 Kerosene is a commonly used fuel; however, prolonged contact with the skin and mucous membranes can cause chemical injury. Reports of kerosene immersion chemical injuries are limited. Kerosene consists primarily of hydrocarbons with high lipophilicity, allowing it to penetrate cell membranes and dissolve lipid components, leading to tissue damage. Short-term contact may cause mild dermatitis; however, prolonged exposure can result in erythema, blistering, and erosion, resembling a superficial burn.
  Case 1: A 76-year-old woman experienced pain two hours after kerosene was spilled on her clothing, resulting in erythema on both arms and the left lower back and thigh.
  Case 2: A 62-year-old man was immobile for three days due to a right putaminal hemorrhage that occurred after a kerosene spill during refueling. Both cases were diagnosed as chemical burns and treated conservatively with vaseline-based ointment and topical steroid for skin with intense erythema. Both cases healed without scarring in 2 weeks and in 4 weeks, respectively.
  Previous studies reported that most cases of gasoline immersion burns heal with conservative treatment. Our report suggests that proper topical management, infection control, and early intervention are crucial for favorable outcomes, regardless of exposure duration.