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Kerosene-Induced Panniculitis in Iraqi Patients

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DOI: 10.4236/jcdsa.2014.45042    2,159 Downloads   2,628 Views   Citations

ABSTRACT

Background: Kerosene is a common household stuff that has been used as accidental oral poisoning material in children and as suicidal attempt in adults. In the last decade intradermal kerosene injection has been commonly used to induce dermatitis artefecta as a part of emotional upset. Objective: To evaluate the clinical cases of intradermal kerosene injection in Iraqi patients. Patients and Methods: This is a descriptive case study that had been conducted in Department of Dermatology Baghdad Teaching Hospital, Baghdad, Iraq during the period from Jan. 2003 to Dec. 2012. History and full clinical examination were performed including all sociodemographic aspects associated with this condition. Psychiatric evaluation was done for each patient. Results: All eleven patients had single lesion except that two had two lesions. They were distributed on accessible areas on the limbs. The exact diagnosis was not reached for at least few weeks after kerosene injection. The patients denied any kerosene injection, but after a while they all admitted that the cause of their rash, severe emotional tension was observed at the time of kerosene injection as they had sociopsychological disturbances. The initial rash was erythematous indurated tender plaque that was gradually increasing in size simulating the picture of panniculitis and then followed by rupture of lesion and associated pyoderma, forming chronic discharging ulcer. Patients were managed by topical and systemic antibiotics until complete resolution leaving a big ugly scar that was treated by topical steroids to improve its cosmetic appearance. Conclusions: Kerosene intradermal injection is an increasing problem among Iraqi adult females and it should be suspected in any patient with chronic discharging ulcer on accessible areas like limbs.

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Sharquie, K. , Noaimi, A. , Younis, M. and Al-Sultani, B. (2014) Kerosene-Induced Panniculitis in Iraqi Patients. Journal of Cosmetics, Dermatological Sciences and Applications, 4, 323-328. doi: 10.4236/jcdsa.2014.45042.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Rice, R.H. and Mauro, T.M. (2008) Toxic Responses of the Skin. In: Casarett, L.J., Ed., Casarett and Doull’s Toxicology: The Basic Science of Poisons, 7th Edition, McGraw-Hill, New York, 143-518.
[2] Baynes, R.E., Brooks, J.D., Budsaba, K., Smith, C.E. and Riviere, J.E. (2001) Mixture Effects of JP-8 Additives on the Dermal Disposition of Jet Fuel Components. Toxicology and Applied Pharmacology, 175, 269-281.http://dx.doi.org/10.1006/taap.2001.9259
[3] Nixon, S.A. (1985) Kerosene Induced Abscesses. Archives of Internal Medicine, 145, 1743.
http://dx.doi.org/10.1001/archinte.1985.00360090219045
[4] Rao, G.S., Kannan, K., Goel, S.K., Pandya, K.P. and Shanker, R. (1984) Subcutaneous Kerosene Toxicity in Albino Rats. Environmental Research, 35, 516-530.
[5] Terzi, C., Bacakoglu, A., Unek, T. and Ozkan, M.H. (2002) Chemical Necrotizing Fasciitis Due to Household Insecticide Injection: Is Immediate Surgical Debridement Necessary? Human Experimental Toxicology, 21, 687-690.http://dx.doi.org/10.1191/0960327102ht308cr
[6] Enchsen, H. and Lynge, P. (1979) Chemical Inflammation and Subcutaneous Necrosis after Injection of Benzene. Ugeskrift for Læger, 141, 1337.
[7] Al-Dabbas, M.H. (2006) Deliberate Self-Burning: The Psychosocial and Clinical Patterns among Patients Admitted to Burn Unit in King Hussein Medical Center/Jordan. The Arab Journal of Psychiatry, 17, 253-256.
[8] Awe, A.J., Soliman, M.A. and Gourdie, R.W. (2003) Necrotizing Fasciitis Induced by Self-Injection of Kerosene. Annals of Saudi Medicine, 23, 388-390.
[9] Nazar, M. (2012) Mohammad Amin, Nashmeel Rasool Hamah Ameen, Reem Abed, Mohammed Abbas. Self-Burning in Iraqi Kurdistan: Proportion and Risk Factors in a Burns Unit. International Psychiatry, 9, 72-74.
[10] Apex Oil Company, Inc. (2005) Material Safety Data Sheet, Kerosene: (Straight Run, Hydrodesulfurized, Clear or Dyed). http://www.apexoil.com/msds/kero.pdf
[11] Wikipedia (The Free Encyclopedia) (2012) History of Petroleum.
[12] Karam, G.E., Hajjar, R.V. and Salamoun, M.M. (2007) Suicidality in the Arab World Part I: Community Studies. The Arab Journal of Psychiatry, 18, 99-107.
[13] Hosseinian, A, Mahammad, A.T.J. and Alireza, R. (2009) Clinical Finding and Outcome in Suicidal Attempt Due to Intravenous Injection of Kerosene. Pakistan Journal of Biological Sciences, 12, 439-442. http://dx.doi.org/10.3923/pjbs.2009.439.442
[14] Kafaween, H., Rbehat, H. and Hawil, K.N. (2010) Necrotizing Fascitis Induced by Self-Injection of Kerosene, Case Report. The Middle East Journal of Family Medicine, 8, 35-39.
[15] Khammash, M.R., Hussein, A.D. and Musmer, M. (1997) Management of Kerosene Injection in the Upper Limb. Saudi Medical Journal, 18, 188-190.
[16] Younis, M.S. (2012) Self-Mutilation by Subcutaneous Injection of Kerosen: Report from Iraq. 12th Pan Arab Psychiatric Conference, 29-30 November-1 December 2012.
[17] Hassan, H.S. (1999) Self Mutilation. The Arab Journal of Psychiatry, 10 http://www.arabjpsychi at.com/index.php?option=com_content&view=article&id=28:1999vol102november&catid=1:volumes-a-articles&Itemid=2

  
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