PMC4137414_01
Initial appearance of the finger with skin necrosis corresponding to a third degree chemical burn.
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PMC4137414_01_40064_2014_1123_Fig1_HTML.jpg
Fig1
This lesion presented as a dry skin necrosis of 1.8 cm in diameter with peripheral inflammation without signs of infection (Figure 1).
Appearance of the finger after full thickness skin debridement.
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PMC4137414_01_40064_2014_1123_Fig2_HTML.jpg
Fig2
Under local anesthesia the entire skin thickness along with part of the subcutaneous tissue was excised and the wound left to undergo controlled scaring (Figure 2).
Appearance of the finger after complete healing.
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PMC4137414_01_40064_2014_1123_Fig3_HTML.jpg
Fig3
Granulation was then observed during the next few days, and the wound was closed after 58 days of controlled scaring (Figure 3).
Sensitivity assessment of the finger at 6 months.
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PMC4137414_01_40064_2014_1123_Fig4_HTML.jpg
Fig4
The assessment of axonal injury was positive: Pressure threshold 1.5 g, 2 point discrimination test 18 mm (normal 2 mm), and vibration threshold 0.220 mm (normal 0.010 mm) (Figure 4).