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Common signs and symptoms of chemical burns

Common signs and symptoms of chemical burns
Sulfuric acid Dark-brownish colored burns, mural perforation of the stomach, cardiovascular collapse, dyspnea, pneumonia, sialorrhea, fever, rapid decrease of blood pressure, tachypnea, severe pain in the mouth and throat, hematemesis, blindness, chest pain (tightness), cough, dizziness.
Hydrofluoric acid Whitish tissue with surrounding erythema, immediate abdominal, mouth and throat pain, skin edema, ulcers and necrosis, vomiting, fever, dyspnea, stridor, laryngeal edema, wheezing, tachypnea, vomiting, tetany, cardiac arrhythmias.
Acetic acid and derivatives
(glacial acetic, trifluoroacetic, & monochloroacetic acids)
Cough, tachypnea, wheezing, headache, nausea, vomiting, impaired vision, abdominal pain, diarrhea, eye, nose and throat irritation, tooth erosion, conjunctivitis, pharyngeal and pulmonary edema, whitish discoloration of the skin (exposure to trifluoroacetic acid).
Nitric acid Yellowish discoloration of the skin and mucosas, whitish tinge of teeth, eye, mouth, throat and abdominal burns and pain, dyspnea, hematemesis, dizziness, cough, tachypnea, pneumonia, laryngospasm.
Hydrochloric acid White or grayish discoloration of the skin and mucosas, eye, mouth, throat and abdominal burns and pain, hematemesis, vomiting, dizziness, dyspnea, cough, tachypnea, pneumonia, laryngospasm, headache, respiratory failure.
Hydrogen sulphide Greenish color of gray matter, "cherry-red" or pink lividity, green patches in the skin, irritant of conjunctivae, sclera and the upper respiratory tract, serous and hemorrhagic pulmonary edema, visceral congestion, bronchial secretions, scattered petechiae, anorexia, headache, amnesia, dizziness, photophobia, tearing, pain and blurred vision.
Sodium hydroxide Skin burns, oropharyngeal pain, dysphagia, vomiting, drooling and excessive salivation, ulcerative mucosal burns, dyspnea, stridor, perforation, and strictures can involve the entire gastrointestinal tract, often in the upper esophagus, severe ocular injury, opacification and perforation of cornea, microstomia, contracture of tongue and trismus, diarrhea, severe abdominal pain, hematemesis, laryngeal edema.
Calcium hydroxide Allergic dermatitis, abrasions, eye and skin burns, erythema and vesicles, ulcers covered with black necrosis, pulmonary edema, cough, nausea, vomiting or severe abdominal pain.
Airbags inflation Skin abrasions and erythema, respiratory problems, sneezing, sore throat and rhinorrhea.
Paraquat Skin burn, nails white discoloration, and ulcerated lesions in the lips, tongue, oropharynx, esophagus (including perforation), stomach, scrotum and trachea, pulmonary edema and fibrosis, multiorganic failure, seizures, hematemesis.
Vesicant – sulfur mustard Skin burn, pruritus, erythema, xerosis, purpura, hypopigmentation, hyperpigmentation and blistering, chronic respiratory disease, repeated respiratory infections, eye pain, swelling, and tearing, abdominal pain, diarrhea, fever, nausea and vomiting.
White phosphorus Eye and respiratory tract irritation, sensation of a foreign body in the eye, lacrimation, blepharospasm, photophobia, cornea perforation, endophthalmitis, blindness, skin partial (second degree) to full thickness burns.
Reproduced from: Dinis-Oliveira RJ, Carvalho F, Moreira R, et al. Clinical and forensic signs related to chemical burns: a mechanistic approach. Burns 2015; 41:658. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 108485 Version 2.0

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