Citation

Al Barqouni LN, Skaik SI, Shaban NR, Barqouni N. Lancet 2010; 376(9734): 68.

Affiliation

Faculty of Medicine, Al Quds University, Abu-Deis, Jerusalem, occupied Palestinian territory. lnb6des@hotmail.com

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/S0140-6736(10)60812-4

PMID

20609989

Abstract

White phosphorus is a smoke-producing, waxy, yellow transparent combustible solid, which is used mainly in military and industrial settings. In the presence of oxygen, it spontaneously ignites with a yellow flame and produces dense smoke; it extinguishes only when deprived of oxygen or totally consumed. On contact with exposed skin, white phosphorus produces painful chemical burns; these typically appear as yellowish, necrotic, full-thickness lesions due to both chemical and thermal components. Because white phosphorus has high lipid solubility, the injuries often extend deep into underlying tissues with resultant delayed wound healing. White phosphorus can also be absorbed systemically resulting in multiple organ dysfunction syndrome because of its effect on erythrocytes, kidneys, liver, and heart.

Language: en