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Visual Diagnosis in Emergency Medicine| Volume 48, ISSUE 4, e101-e102, April 2015

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Chemical Burn with Nitric Acid and Xanthoproteic Reaction

Published:December 05, 2014DOI:https://doi.org/10.1016/j.jemermed.2014.09.056
      Chemical burns are more common in developing countries, with up to 20% of all burns (intentional and work-related) being caused by acids, whereas in developed countries chemical burns tend to happen at work, comprising up to 16% of all workplace-related burns in one report (
      • Dissanaike S.
      • Rahimi M.
      Epidemiology of burn injuries: highlighting cultural and socio-demographic aspects.
      ,
      • Mian M.A.
      • Mullins R.F.
      • Alam B.
      • et al.
      Workplace-related burns.
      ). Intentional chemical burns in developing countries are well described in medical literature as a form of assault or motivated by interpersonal conflicts, and it is increasingly frequent because chemicals such as sulfuric acid (used to refill dry lead–acid batteries) are readily available and inexpensive (
      • Peck M.D.
      Epidemiology of burns throughout the World. Part II: Intentional burns in adults.
      ).
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