View or download all the content the society has access to. Formic acid skin burns resulting in systemic toxicity. Formic acid shares most of the chemical properties of other carboxylic acids. Please read and accept the terms and conditions and check the box to generate a sharing link. Results This is the first report of a chemical burn by formic acid in the treatment of warts. Make a wet, cold compress with a sterile pad if possible, or clean cloth if not, and apply to the acid burn area. Topical formic acid-based solutions have been reported as effective, safe and inexpensive anti-wart treatments.12–14 The mechanism of action remains unknown but is hypothesised to act by dehydrating and destroying the infected tissue.12 We report a case of a third-degree chemical burn in a child having used a formic acid-based solution for treatment of a cutaneous wart of the hand. Treatment in hospital. Preoperative image taken during the time of operation, 18 days after application of the ointment, revealing a 20-mm circular defect distal to the first metacarpophalangeal joint. Based on the aforementioned criteria, six articles were identified. Viral warts to the skins are common and are expected to heal by themselves with time. This helps ensure that all the acid is removed and prevents further skin damage. For more information view the SAGE Journals Sharing page. Chemical burns are comparably rare but often result in full-thickness skin defects with frequent involvement of underlying structures. Ann Emerg Med. This product could help you, Accessing resources off campus can be a challenge. Copyright © 2020 Leaf Group Ltd., all rights reserved. Together with our case, this highlights the importance of careful patient education in the usage of common topical over-the-counter treatments. Acid burns frequently occur in the home or at work 2. Call for medical attention immediately in the case of second or third degree burns, or if you show signs of shock such as shallow breathing or feeling faint. Yelon JA, Simpson RL, Gudjonsson O. Formic acid inhalation injury: a case report. Iatrogenic chemical burns have rarely been described but are usually associated with topical skin treatments.4,5, Cutaneous viral warts are common lesions, particularly in young people of whom an estimated 5%–30% are affected.6–8 They often resolve spontaneously;9 however, the associated stigma and often unsightly appearance lead patients to seek treatments for their removal. The patient was successfully treated with hemodialysis, IV bicarbonate, and supportive measures. All wounds subsequently healed with the majority requiring debridement and surgery. Common, plane and plantar viral warts, Warts in primary schoolchildren: prevalence and relation with environmental factors, Institute for Quality and Efficiency in Health Care, British Association of Dermatologists’ guidelines for the management of cutaneous warts 2014, Topical formic acid puncture technique for the treatment of common warts, A double-blind, randomized trial of local formic acid puncture technique in the treatment of common warts, Treatment of common recalcitrant warts with topical formic acid, Third degree formic acid chemical burn in the treatment of a hand wart: a case report and review of the literature, Deep full thickness burn to a finger from a topical wart treatment, Salicylic acid burn induced by wart remover: a report of two cases, An unusual and serious complication of topical wart treatment with monochloroacetic acid, Deep plantaris ulceration secondary to the topical treatment of wart with glutaraldehyde, A full-thickness chemical burn to the hand using formic acid-based anti-wart treatment: a case report and literature review, SAGE Publications Ltd unless otherwise noted. A few reports on formic acid ingestion have been published. Kruse JA. Recently, there has been a rise in the number of different types of solutions that are used in the treatment of warts, including formic acid. the site you are agreeing to our use of cookies. metabolic acidosis, intravascular hemolysis, hemoglobinuria and renal failure. A clean bandage can be used if a sterile one isn't available. Some society journals require you to create a personal profile, then activate your society account, You are adding the following journals to your email alerts, Did you struggle to get access to this article? 9(5):358-61. . She applied the solution once, limiting exposure to the confines of the affected tissue. It's dangerous at high concentrations, but at low concentrations it's very useful. Humans use formic acid as a … In addition, you can use the treatment of herbs, which are applied externally and inward: insist within 1 hour of Art. The most commonly affected body parts in chemical burns are the upper extremities, most often the hands. Carefully remove any clothing or jewelry the acid might have touched. The wound was subsequently covered with an occlusive dressing, although this was advised against on the pack insert. In addition to ordinary burn treatment, the patient must be observed carefully with respect to systemic effects. For more information view the SAGE Journals Article Sharing page. Image of the transposed rhomboid flap now covering the wound bed and sutured into place using single non-resorbable nylon sutures. The patient presented with profound metabolic acidosis and a serum formate level of 400 micrograms/mL, the highest reported in the literature for poisoning by any route. For example, use synthetic mite-strips in spring followed by a formic acid treatment in fall. Ethical approvalWritten informed consent for the case to be published (including accompanying images, case history and data) was obtained from the patient and legal guardian. The postoperative recovery was unremarkable. However, only a few treatments have proven their effectiveness, such as salicylic acid or cryotherapy with liquid nitrogen that are commonly used. Secondly, mite resistance against Formic Acid are presently unknown and also quite unlikely6. Treatment Goals – contd. Make sure not to exceed the dosage on the bottle, and never give aspirin to children without first speaking with your doctor. Numerous topical treatments for cutaneous warts are available with many new drugs appearing every year. Burns. Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. Create a link to share a read only version of this article with your colleagues and friends. Do not try to pop blisters or pull off dead skin. Consult your local poison control center or a physician before applying anything besides water to an acid burn. Login failed. We describe a case of a full-thickness chemical burn following topical application of a solution containing formic acid on a common wart to the dorsum of the hand. This is usually done in one of two ways: Laser surgery – this type of treatment is most commonly used for warts on the feet and is usually recommended only for... Electrosurgery – with this treatment the wart tissue is burned with a high-frequency electric current. The National Burn Repository, version 14.0. Continue hydrotherapy treatment for 2-3 hours for acid burns and for at least 12 hours for strong alkali burns. There were no signs of local or systemic infection. On reviewing the literature, we identified two other acid-based solutions, salicylic acid and monochloroacetic acid, and a third chemical called other glutaraldehyde, that are commonly found in anti-wart treatments and have been described to cause chemical burns. The flap margin marked A was transposed to align with the wound margin marked a. To the best of our knowledge, this is the first case of a full-thickness burn reported in a child. Like most caustic chemicals, when acids contact the skin, they cause damage in the form of a burn. She was previously fit and well with topical eczema to her hands for which she occasionally used topical steroids. On examination, a 20-mm circular full-thickness defect was noted to the dorsum of the hand. Supradeeptha, C, Shandilya, SM, Naresh, A. van Haalen, FM, Bruggink, SC, Gussekloo, J. Sjökvist, O, Smolle, C, Jensson, D, Huss, F. View or download all content the institution has subscribed to.
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