Journal of Clinical Case Reports

Masashi Ueyama

Publications

• Case Report
  A Case Report of Severe Potassium Hydroxide (Alkaline) Burn with Hyperkalemia
  Author(s): Hiroshi Matsuura, Akinori Osuka, Hiroshi Ogura, Masashi Ueyama and Takeshi ShimazuHiroshi Matsuura, Akinori Osuka, Hiroshi Ogura, Masashi Ueyama and Takeshi Shimazu
  
  A 28-year-old man suffered intentional dermal exposure to potassium hydroxide inside a psychiatric hospital bathroom during inpatient treatment for schizophrenia. He received initial treatment at a local emergency department (ED) and was transferred to our burn unit. On arrival at 18 hours after the injury, he was diagnosed as having 60% total body surface area (TBSA) chemical burns; third-degree: 24%, second-degree: 36%. At the outside ED, his serum potassium level peaked at 8.2 mEq/L (normal range: 3.5 to 5.0 mEq/L) and decreased to 6.9 mEq/L after he received intravenous glucose and insulin therapy. At our facility his potassium had increased to 7.3 mEq/L. The patient’s urine output was maintained at >100 mL/h, but his serum potassium level rose to 8.1 mEq/L and continuous hemodiafiltration was initiated within 5 h of admission. Early debridement was performed due to exten.. Read More»
  DOI: 10.4172/2165-7920.10001064

  Abstract PDF