A 16-year-old female with psoriasis presented to our Plastic Surgery Department with a significant CHEMICAL BURN to the neck, upper torso and left cheek (TBSA 6%). She applied a concoction of cream prescribed by her dermatologist in her native country, Poland when she returned to the United Kingdom. A few hours after application she developed a BURN with pH of 5. A review of the cream revealed a mixture of 19% dithranol and 5% salicylic acid. This combination is recognized for managing psoriasis, however the strength of dithranol in the combination given is of a high concentration (normally <3%). This alone can cause a BURN to the skin if left for a prolonged period of time. Salicylic acid is an enhancer which augments the stability of dithranol and increases its penetration and efficacy. The concentration of 5% is also on the higher end. Our patient was admitted for pain relief and further irrigation till normalization of the pH which was achieved after 3 days. A worrying aspect in our patients’,case is that she was given the cream to commence at home. High concentration preparation is normally commenced in a controlled setting under medical supervision.

This study was conducted to determine the causes and outcomes of BURN in patients referred to Shahid Mohammadi Hospital in Bandar Abbass, southern Iran, in which 212 BURNed patients were assessed from March 2007 to March 2008 .Mean age of patients was 22.14 yr. Heat contact was the main cause of BURN with 92.5%. 49.1% of total BURNs occurred among less than 20 yr old people. Mortality rate was 10.4%. Most of BURNs occurred at home. An educational program is necessary to prevent thermal BURNing at home.

Here we reported a one-year-old infant with tissue damage in the scrotum area, in which a small button cell battery had been found in his diaper. Evidence suggested that the lesion was caused by contact with the leaky battery with the scrotal skin. The treatment procedure was prescribed by a dermatologist. The healing process was tracked over the examination times. After two months, the site of the lesion showed complete remission. The findings suggested that in such cases, after removing the CHEMICAL agent, blisters, and necrotic tissues, therapeutic measures should be performed similarly to the thermal BURNs.

Purpose: To report visual rehabilitation with a native Pintucci keratoprosthesis (KPro) after a severe ocular surface CHEMICAL BURN in a male patient. Case Report: A 41‑ year‑ old man experienced a bilateral severe CHEMICAL BURN 5 years previously. Earlier penetrating keratoplasty and keratolimbal allografts were unsuccessful in both eyes, and neither of the eyes had vision better than light perception. Both corneas were opaque and conjunctivalized. Because of severe dry eye and total limbal stem cell deficiency, the left eye was considered for a Pintucci‑ type KPro. In the first stage, the ocular surface was reconstructed with an oral mucus membrane graft, and a KPro was placed under the skin and orbicularis oculi muscle. Three months later, the KPro was removed and implanted in the left eye. During seven months after the KPro implantation, the anatomical position was acceptable, and his best corrected visual acuity was 2/10. Conclusion: Bearing in mind the successful results of the native Pintucci KPro in this case of severe acid BURN, using this type of keratoprosthesis in patients with total limbal stem cell deficiency and severe dry eye is recommended.