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Hydrofluoric acid burn information


Hydrofluoric acid burn
Other namesHydrofluoric acid toxicity
A hydrofluoric acid burn of the hand
SpecialtyToxicology
SymptomsSevere pain at the site of exposure[1]
Complicationselectrolyte, heart, lung, and neurological problems[1]
Usual onsetImmediate or delayed[1]
CausesHydrofluoric acid[1]
Diagnostic methodBased on history of exposure and symptoms[2]
TreatmentRemoving contaminated clothing, washing with water, calcium gluconate[1]
FrequencyRare[1]

A hydrofluoric acid burn is a chemical burn from hydrofluoric acid.[1] Where it contacts the skin it results in significant pain, swelling, redness, and skin breakdown.[1][2] If the fumes are breathed in swelling of the upper airway and bleeding may occur.[2] Complications can include electrolyte, heart, lung, kidney, and neurological problems.[1][2]

Most exposures occur at work.[2] With concentrations less than 7%, onset of symptoms may not occur for hours while with concentrations greater than 15% onset of symptoms is nearly immediate.[1] Diagnosis should include blood tests for calcium, potassium, and magnesium along with an electrocardiogram.[1]

Initial treatment of exposure involves removing contaminated clothing and washing with large amounts of water over at least 30 minutes.[1] Other measures include applying calcium gluconate cream.[1] It is estimated that about a thousand cases occur each year globally.[1] Most people affected are adult males.[1]

  1. ^ a b c d e f g h i j k l m n o Schwerin, DL; Hatcher, JD (January 2019). "Hydrofluoric Acid Burns". StatPearls. PMID 28722859.
  2. ^ a b c d e Wang, X; Zhang, Y; Ni, L; You, C; Ye, C; Jiang, R; Liu, L; Liu, J; Han, C (December 2014). "A review of treatment strategies for hydrofluoric acid burns: current status and future prospects". Burns. 40 (8): 1447–57. doi:10.1016/j.burns.2014.04.009. PMID 24946967.

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