Journal of Japan Society of Plastic and Reconstructive Surgery
Online ISSN : 2758-271X
Print ISSN : 0389-4703
Case Reports
A Case of Major Chemical Injury Caused by Sulfuric Acid and Chromic Anhydride
Daisaku YOSHIDAShouta TENGANMisato ISHIIRisa NOBUKUNIKoichiro YOSHIMUTA
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2024 Volume 44 Issue 11 Pages 569-572

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Abstract

 We report a case of major chemical injury caused by a mixture of sulfuric acid and chromic anhydride. A 19-year-old male fell into a tank containing sulfuric acid and chromic anhydride in a chemical plant and sustained a 50% total body surface area chemical burn. Emergency debridement was performed, and the patient was administered a high volume of fluids and ventilator management. Acute renal failure was observed, resulting in multiple organ failure due to acute chromium poisoning. Hemodialysis was initiated; however, the patient died due to deterioration of his condition caused by acute chromium poisoning.
 Chromic anhydride is widely used in the chemical industry for plating and dyes. When absorbed percutaneously through chemical injury, it causes acute chromium poisoning, which rapidly leads to multiple organ damage and is fatal. Rapid debridement is a treatment option for inhibiting percutaneous absorption.

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© 2024 Japan Society of Plastic and Reconstructive Surgery
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