If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password
If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password
Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DCDepartment of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC
Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DCDepartment of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC
Reprint Address: Joelle Borhart, md, Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DC
Affiliations
Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DCDepartment of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC
A 33-year-old man presented to the Emergency Department (ED) with chemical burns on
his hands from handling paint thinner without using gloves. He had approximately 7 h
of direct contact of Klean-Strip® (W.M. Barr & Company, Memphis, TN) on his bilateral
hands. Klean-Strip is comprised primarily of Stoddard solvent, a petroleum-derived
mixture of organic hydrocarbons (
). The patient reported severe burning pain throughout his palms and fingers. The
palmar aspects of his hands were discolored and waxy, with a leather-like texture,
particularly at his distal fingertips (Figure 1, Figure 2). Burns with organic solvents such as hydrocarbons cause a corrosive dissolution
of lipids, unlike thermal burns, which cause local tissue denaturation and release
of local inflammatory mediators due to an exothermic reaction (
