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KMID : 0882420170920010070
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Korean Journal of Medicine
2017 Volume.92 No. 1 p.70 ~ p.73
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Acute Kidney Injury Following Chemical Burns Caused by Hexavalent Chromium
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Lee Yeon-Hee
Yu Yeon-Sil
An Jung-nam
Lee Jung-Pyo
Lim Chun-Soo
Oh Yun-Kyu
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Abstract
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The metal chromium is widely used in industry. Hexavalent chromium is a strong oxidizing agent, and exposure to some hexavalent compounds can cause serious problems, such as skin ulcers, acute gastroenteritis, acute tubular necrosis with renal failure, and hepatic necrosis. We report a case of acute kidney injury following skin exposure to hexavalent chromium, which burned a relatively small percentage of the total body surface area (TBSA). A 49-year-old man developed oliguria and acute kidney injury 3 days after burning about 5% of his TBSA with chromic acid solution, causing second- to third-degree chemical burns. His creatinine level increased to 12.5 mg/dL. The patient underwent hemodialysis with supportive care. His renal function improved and the dialysis was discontinued. The serum and urine chromium concentrations also decreased.
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KEYWORD
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Chromium, Acute kidney injury, Burns, Chemical
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