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Cutaneous manifestations of lightning injury: a case report.

Asuquo ME, Ikpeme IA, Abang I - Eplasty (2008)

Bottom Line: It most significantly affects the cardiorespiratory, nervous, and integumentary systems.A 22-year-old woman presented with cutaneous manifestations of lightning-induced burns and bilateral upper limb gangrene after 2 months of improper treatment.Education concerning the nature of lightning and proper management would improve outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria. mauefas@yahoo.com

ABSTRACT

Background: Lightning injuries are relatively uncommon and have been a subject of awe since primitive times. It most significantly affects the cardiorespiratory, nervous, and integumentary systems. Surprisingly, cutaneous burn injuries caused by lightning are usually superficial.

Objective: To present the cutaneous manifestations of lightning injuries and the sequelae of improper management.

Case report: A 22-year-old woman presented with cutaneous manifestations of lightning-induced burns and bilateral upper limb gangrene after 2 months of improper treatment. She refused amputation after counseling and left the hospital.

Conclusion: This is a rare case of burns with cutaneous manifestations peculiar to lightning injury. These features serve as evidence of lightning injury, when in doubt, especially in societies where superstition is rife. Education concerning the nature of lightning and proper management would improve outcome.

No MeSH data available.


Related in: MedlinePlus

Cutaneous manifestation of lightning injury with bilateral below-elbow gangrene.
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Figure 1: Cutaneous manifestation of lightning injury with bilateral below-elbow gangrene.

Mentions: On examination, she was in poor general condition, febrile, and anemic. She had healing/ or infected superficial burns that involved the right side of the face and neck, the right axilla, breasts, right hypochondrium, and iliac fossa. The lower extremities of the upper limbs had extensive gangrene that extended to the elbows and infected burns on the right arm extending to the deltoid region as well as the anterior part of the left arm (Figure 1). On examination, chest and abdomen as well as the lower limbs were normal.


Cutaneous manifestations of lightning injury: a case report.

Asuquo ME, Ikpeme IA, Abang I - Eplasty (2008)

Cutaneous manifestation of lightning injury with bilateral below-elbow gangrene.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2553245&req=5

Figure 1: Cutaneous manifestation of lightning injury with bilateral below-elbow gangrene.
Mentions: On examination, she was in poor general condition, febrile, and anemic. She had healing/ or infected superficial burns that involved the right side of the face and neck, the right axilla, breasts, right hypochondrium, and iliac fossa. The lower extremities of the upper limbs had extensive gangrene that extended to the elbows and infected burns on the right arm extending to the deltoid region as well as the anterior part of the left arm (Figure 1). On examination, chest and abdomen as well as the lower limbs were normal.

Bottom Line: It most significantly affects the cardiorespiratory, nervous, and integumentary systems.A 22-year-old woman presented with cutaneous manifestations of lightning-induced burns and bilateral upper limb gangrene after 2 months of improper treatment.Education concerning the nature of lightning and proper management would improve outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria. mauefas@yahoo.com

ABSTRACT

Background: Lightning injuries are relatively uncommon and have been a subject of awe since primitive times. It most significantly affects the cardiorespiratory, nervous, and integumentary systems. Surprisingly, cutaneous burn injuries caused by lightning are usually superficial.

Objective: To present the cutaneous manifestations of lightning injuries and the sequelae of improper management.

Case report: A 22-year-old woman presented with cutaneous manifestations of lightning-induced burns and bilateral upper limb gangrene after 2 months of improper treatment. She refused amputation after counseling and left the hospital.

Conclusion: This is a rare case of burns with cutaneous manifestations peculiar to lightning injury. These features serve as evidence of lightning injury, when in doubt, especially in societies where superstition is rife. Education concerning the nature of lightning and proper management would improve outcome.

No MeSH data available.


Related in: MedlinePlus