alexa Cutaneous Inhaler Burn | Open Access Journals
ISSN: 2329-9126
Journal of General Practice
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Cutaneous Inhaler Burn

P Y Wong1* and I Beegun2
1Department of Ear, Nose and Throat, The Royal National Throat, Nose and Ear Hospital, London, UK
2Department of Ear, Nose and Throat, Royal Bolton Hospital, UK
Corresponding Author : Phui Yee Wong
Northwick Park Hospital
Medical Education, Watford Road Middlesex
London, NW9 5JD, United Kingdom
Tel: +447525132201
E-mail: [email protected]
Received May 19, 2014; Accepted June 24, 2014; Published June 26, 2014
Citation: Wong PY (2014) Cutaneous Inhaler Burn. J Gen Pract 2:166. doi:10.4172/2329-9126.1000166
Copyright: © 2014 Wong PY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Case Report
A 13-year old boy attended the ENT outpatient department for otological review. A rectangular burn mark with surrounding skin peeling on the dorsum of his left hand was incidentally noted. Further history revealed that a week prior to the visit, he was challenged to spray the back of his hands using his friend’s Salbutamol metered dose inhaler. The mouthpiece of the inhaler was placed in direct contact with the dorsum of his hand and sprayed 4 times. There was no immediate discomfort but he noticed that skin changes mainly erythema started to develop over several hours.
To our knowledge, cutaneous inhaler burn injury is rare and only 5 cases have been reported in children [1-4] and adult [5] with mental illness. The mechanism of injury is thought to be a combination of several factors including the physical abrasive effect from the aerosol blast, intense cooling effect on the skin and chemical injury from the pharmaceutical/preservative/propellant aerosol [5] (Figure 1).
This image serves as a reminder that inhaler burn may be considered in children presenting with cutaneous burn in the shape and size of an inhaler mouthpiece. These images also serve as a reminder of the hazardous risk of misusing metered dose inhalers.

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Figure 1
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