PEDIATRICS Vol. 97 No. 2 February 1996, pp. 257-258
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Cutaneous Necrosis After Contact With Calcium Chloride: A Mistaken Diagnosis of Child Abuse

PHILIPPE ZURBUCHEN MD1, CLAUDE LECOULTRE MD1, ANNE-MARIE CALZA MD2, and DANIEL S. HALPÉRIN MD3

1 Department of Pediatric Surgery, Hôpital Cantonal Universitaire, Geneva, Switzerland
2 Department of Dermatology, Hôpital Cantonal Universitaire, Geneva, Switzerland
3 Department of Pediatrics, Hôpital Cantonal Universitaire, Geneva, Switzerland

Necrosis of the skin after contact with calcium chloride has been described in a variety of situations, including that of oil field workers and prolonged electroencephalographic testing (contact paste). Circumscribed dystrophic dermal calcification was reported for the first time in 1935 and may follow the application of dry calcium or calcium-containing solutions. The authors report a case of percutaneous penetration of a defrosting, industrial calcium salt, which was followed by deep-dermal thigh necrosis in a child. This uncommon injury raised concern about child abuse.

Submitted on February 13, 1995
Accepted on March 29, 1995




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