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May 16, 2012
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Chemical Burns

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Chemical Burns Overview

A chemical burn is irritation and destruction of human tissue caused by exposure to a chemical, usually by direct contact with the chemical or its fumes. Chemical burns can occur in the home, at work or school, or as a result of accident or assault. Although few people in the United States die after contact with chemicals in the home, many substances common in both living and storage areas can do serious harm.

Many chemical burns occur accidentally through misuse of products such as those for hair, skin, and nail care. Although injuries do occur at home, the risk of sustaining a chemical burn is much greater in the workplace, especially in businesses and manufacturing plants that use large quantities of chemicals.

Most chemical burns are caused by either strong acids or strong bases (for example, hydrochloric acid or sodium hydroxide). Acids damage and kill cells by coagulating cells while bases liquefy cells. Prolonged exposure can severely damage human tissues and, if the patient survives, leads to scarring and disability. Other chemicals like oxidants and certain metals may also produce similar chemical burns. Limiting the time of exposure to any of these chemicals can greatly reduce their damaging effects.

Unfortunately, some chemical burn agents are designed to harm people (chemical agents used in wars and in terrorist attacks). It is not the scope of this article to cover these agents.

Chemical Burn Causes

Most chemicals that cause burns are either strong acids or bases. A glance at the medical information on the labels of dangerous chemicals usually confirms the expected toxicity. Common sense precautions and consumer education can reduce the risk of injury. A variety of common household products that may cause chemical burns are as follows:

  • Bleach
  • Concrete mix
  • Drain or toilet bowl cleaners
  • Metal cleaners
  • Pool chlorinators

This is just a sample list. Many other products used in the home and at work may contain some amount of chemicals that may cause burns. it is important to keep the labels on the containers in case of an exposure so the medical personnel can know what the patient has been exposed to.

All of these should only be stored in the appropriate containers to prevent accidental ingestion.

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Corneal Ulcer Overview

A corneal ulcer is an open sore on the cornea, the clear structure overlying the iris, which is the colored part of your eye.

Corneal Ulcer Causes

  • Most corneal ulcers are caused by infections.
    • Bacterial infections cause corneal ulcers and are common in people who wear contact lenses.
    • Viral infections are also possible causes of corneal ulcers. Such viruses include the herpes simplex virus (the virus that causes cold sores) or the varicella virus (the virus that causes chickenpox and shingles).
    • Fungal infections can cause corneal ulcers and may develop with improper care of contact lenses or the overuse of eyedrops that contain steroids.
  • Tiny tears to the corneal surface may become infe...

Read the Corneal Ulcer article »


Read What Your Physician is Reading on Medscape

Burns, Chemical »

Acids are defined as proton donors (H+), and bases are defined as proton acceptors (OH-).

Read More on Medscape Reference »

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