Burns : journal of the International Society for Burn Injuries
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Review Case Reports
A shorter lag period of mesenchymal malignancy on Marjolin's ulcer.
Marjolin's ulcers generally appear on a burn scar a long time after initial burn injury. A 21-year-old man sustained a thermal burn injury to his right elbow. The ulcer appeared 3 years after and the tumour enlarged and reached a size of 11 cm in diameter in a short period of time. ⋯ Right axillary lymph node dissection was carried out. Immunohistochemical studies showed that the nature of the tumour was mesenchymal. Both mesenchymal malignancy and shorter lag period are rarely seen in Marjolin's ulcer.
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Review Case Reports
Heterotopic ossification after severe burns: a report of three cases and review of the literature.
Heterotopic ossification (HO) is a rare complication of head and spinal injuries, polio, orthopaedic surgery and burns. Three patients are reported, who developed severe HO following major, life-threatening burn injury. The aetiology, diagnosis and treatment of this condition are discussed. Particular attention is given to measures which may help reduce morbidity.
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Comparative Study
Effects of allopurinol, ibuprofen and cyclosporin A on local microcirculatory disturbance due to burn injuries.
This experiment was designed to study the reactions in the surrounding area of burn injury that may lead to further necrosis in 24 h. To prevent extension of burn size into the tissue adjacent to burn injury, it was attempted to reduce progressive microvascular damage by different drugs (ibuprofen, allopurinol or cyclosporin A (CyA)) in a rat model. The burn model consisted of a row of four 10 x 20 mm burn areas separated by three unburned 5 x 20 mm skin bridges (interspaces). ⋯ Among the treated rats better results were obtained by allopurinol and CyA treatment that commenced before burn than ibuprofen. Wet and dry ratios were found to be significantly lower in interspaces in rats pretreated with allopurinol and CyA. Results of this experiment showed that neutrophils and free radical-mediated injury may be involved in the pathogenesis of local response to thermal injury, and allopurinol and CyA have some effects to prevent progressive ischemia, capillary compromise and oedema.
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Burns caused by prolonged contact of wet cement with skin are common in this country. Recent literature has highlighted other ways in which the use and manufacture of cement can lead to burn injuries, notably through explosion and contact with hot powder during manufacturing. These injuries are uncommon in this country and potentially very serious. Case studies are presented of two men injured in such a way in the same incident at a cement-manufacturing plant.
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High tension electrical injuries have a high morbidity and mortality. Carbon fibre and graphite used in the manufacture of fishing rods gives them superconductor qualities. The resistance of a fishing rod with a carbon content of more than 70 per cent is very low, ranging from 0.9 to 10.5 k omega. Nine cases are reported, which teach an important lesson not only in the management of those severe injuries, but also in their prevention.