A Histologic Perspective on Electrical and Thermal Burn-Injured Human Skin

Adv Skin Wound Care. 2019 May;32(5):1-7. doi: 10.1097/01.ASW.0000554446.59743.9f.

Abstract

Objective: To analyze specific spectroscopic (FT-Raman) and thermal (limiting oxygen index) aspects of skin samples exposed to electrical injury compared with thermal injury.

Methods: An observational case-control study was conducted at the Dr Stanislaw Sakiel Center for Burns Treatment in Siemianowice, Silesia, Poland. A scanning electron microscope was used to diagnose and illustrate the topography of skin samples from electrical and thermal burns and the morphologic effects on damaged versus undamaged skin surfaces. In particular, researchers attempted to detect spectroscopic and thermal changes at the molecular level, namely, specific biomarkers of tissue degeneration and their regeneration under the influence of the applied modifiers (antioxidants and orthosilicic acid solutions).

Results: Modification with L-ascorbic acid and hydrogel of orthosilicic acid caused an increase in the intensity of the amide I Raman peaks, whereas modification with sodium ascorbate and orthosilicic acid resulted in the separation of the band protein side chains (1,440-1,448 cm), which is a part of tissue regeneration. The best result was obtained when the skin was treated with 7% orthosilicic acid (limiting oxygen index, 26%).

Conclusions: Antioxidant treatment may be advantageous in minimizing injury in patients with thermal burns but not always in electrical burns.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Antioxidants / therapeutic use*
  • Biomarkers
  • Biopsy
  • Burns, Electric / diagnostic imaging
  • Burns, Electric / drug therapy*
  • Burns, Electric / mortality
  • Burns, Electric / pathology*
  • Case-Control Studies
  • Dimethyl Sulfoxide / therapeutic use*
  • Humans
  • Hydrogels
  • Lauric Acids / therapeutic use*
  • Male
  • Microscopy, Energy-Filtering Transmission Electron
  • Middle Aged
  • Necrosis / diagnostic imaging
  • Poland
  • Silicic Acid / therapeutic use*
  • Skin / injuries*
  • Skin / pathology
  • Statistics, Nonparametric
  • Wound Healing / drug effects
  • Young Adult

Substances

  • Antioxidants
  • Biomarkers
  • Hydrogels
  • Lauric Acids
  • lauric acid
  • Silicic Acid
  • Dimethyl Sulfoxide