J Wound Manag Res.
2019 Mar;15(1):39-42. 10.22467/jwmr.2019.00570.
Deep Second Degree Chemical Burn due to Topical Application of Clematis terniflora: A Case Report
- Affiliations
-
- 1Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine, Gyeongju, Korea. drleedr@gmail.com
- KMID: 2469760
- DOI: http://doi.org/10.22467/jwmr.2019.00570
Abstract
- Clematis terniflora, a member of Ranunculaceae family, is generally used for local treatment of joint pain, burns, lacerations, and warts among the population as a traditional East Asian medicine. But its side effects like contact dermatitis and chemical burn due to topical application of C. terniflora should not be overlooked. As a chemical burn due to local application of C. terniflora has never been reported in Korea up to date, we are going to present a deep second-degree burn case owing to C. terniflora. A 49-year-old woman was admitted to Dongguk University Hospital because of an open wound on her foot dorsum. The patient suffered from itching sensation when she got a tick bite on the right foot. She applied mashed leaves of C. terniflora topically on the tick bite lesion about 4 hours. Four hours later, the patient felt painful tingling sensation with multiple bulla formation. So, she ripped off mashed C. terniflora immediately and washed exposed skin, then came to our hospital. We performed bullotomy and foam dressing for 3 days after admission. Three days later, we performed dressing with cultured allogenic keratinocyte (KaloDerm). Surgical procedure was not performed.
