A Frosty Challenge.
Journal
Pediatric emergency care
ISSN: 1535-1815
Titre abrégé: Pediatr Emerg Care
Pays: United States
ID NLM: 8507560
Informations de publication
Date de publication:
01 Feb 2021
01 Feb 2021
Historique:
pubmed:
24
1
2019
medline:
10
8
2021
entrez:
24
1
2019
Statut:
ppublish
Résumé
We report a case of geometrical skin lesions in a teenage patient. A previously healthy 14-year-old boy presented in our pediatric emergency department with unusual skin lesions on his left forearm. The patient said the lesions started 2 weeks earlier following a spider bite. His physical examination revealed an otherwise healthy child with no medical history with raised square lesions of the left forearm. The lesions were in different stages of healing and resembled second-degree burns. Examination showed no other lesions. Vital signs were normal. The patient was discharged after the lesions were dressed with antibiotic ointment. A follow-up consultation was scheduled a week later, but the patient did not attend the follow-up consultation. A senior emergency physician called the family and learned that the lesions were progressively healing and no other lesions appeared. The teen admitted he played the "salt and ice challenge." The salt and ice challenge involves putting salt on the skin and then applying and/or pressing ice cubes on top of the salt. The challenge is to resist the pain consecutive to frostbite for as long as possible. The result is often second-degree burns and possible partial third-degree burns. Because of the current popularity of this practice, emergency or family physicians, pediatricians, dermatologists, and burn or orthopedic surgery units might encounter these injuries. When young patients present with geometrical burn injuries and unexplained or bizarre circumstances, self-inflicted burn "challenges" should be considered.
Sections du résumé
BACKGROUND
BACKGROUND
We report a case of geometrical skin lesions in a teenage patient.
CASE
METHODS
A previously healthy 14-year-old boy presented in our pediatric emergency department with unusual skin lesions on his left forearm. The patient said the lesions started 2 weeks earlier following a spider bite. His physical examination revealed an otherwise healthy child with no medical history with raised square lesions of the left forearm. The lesions were in different stages of healing and resembled second-degree burns. Examination showed no other lesions. Vital signs were normal. The patient was discharged after the lesions were dressed with antibiotic ointment. A follow-up consultation was scheduled a week later, but the patient did not attend the follow-up consultation. A senior emergency physician called the family and learned that the lesions were progressively healing and no other lesions appeared. The teen admitted he played the "salt and ice challenge."
DISCUSSION
CONCLUSIONS
The salt and ice challenge involves putting salt on the skin and then applying and/or pressing ice cubes on top of the salt. The challenge is to resist the pain consecutive to frostbite for as long as possible. The result is often second-degree burns and possible partial third-degree burns.
CONCLUSIONS
CONCLUSIONS
Because of the current popularity of this practice, emergency or family physicians, pediatricians, dermatologists, and burn or orthopedic surgery units might encounter these injuries. When young patients present with geometrical burn injuries and unexplained or bizarre circumstances, self-inflicted burn "challenges" should be considered.
Identifiants
pubmed: 30672899
pii: 00006565-202102000-00022
doi: 10.1097/PEC.0000000000001722
doi:
Substances chimiques
Anti-Bacterial Agents
0
Ice
0
Ointments
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e81-e83Informations de copyright
Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
Références
Jaslow R. “Ice and salt challenge” leaves 12-year-old Pittsburgh boy with second-degree burns . CBS News 2012. Available at: http://www.cbsnews.com/news/ice-and-salt-challenge-leaves-12-year-old-pittsburgh-boy-with-second-degree-burns/ . Accessed February 22, 2018.
Williams JM, Cubitt JJ, Dickson WA. The challenge of salt and ice. Burns . 2013;39:1029.
Zack JM, Fults M, Saxena H, et al. Factitial dermatitis due to the “salt and ice challenge”. Pediatr Dermatol . 2014;31:252–254.
Sohatee MA, Brierley NA, Muir T. “Salt ice dare”: a previously un-described mechanism of rapid frostbite injury. J Plast Reconstr Aesthet Surg . 2014;67:e248–e249.
Breakey W, Crowley TP, Alrawi M. Salt and ice, a challenge not to be taken lightly. J Burn Care Res . 2015;36:e230.
Thomas J. Well-defined macules on young girl's forearms. J Fam Pract . 2015;64:E9–E10. Available at: www.mdedge.com/jfponline/article/89692/dermatology/well-defined-macules-young-girls-forearms . Accessed July 28, 2017.
Roussel LO, Bell DE. Tweens feel the burn: “salt and ice challenge” burns. Int J Adolesc Med Health . 2016;28:217–219.
Vosbikian MM, Ty JM. The ice and salt challenge: an atypical presentation of a cold injury: a case report. JBJS Case Connect . 2015;5:e11.
Cubitt JJ, Combellack T, Drew PJ. Social networking and risk taking behaviour: the lynx effect. Burns . 2014;40:525–526.
Chu V, Begaj A, Patel L. Burns challenges—a social media dictated phenomena in the younger generation. Burns Open . 2018;2:94–97.
Stefanutti G, Yee J, Sparnon AL. Cryogenic burns from intentional use of aerosol spray in children: an emerging phenomenon. Burns . 2010;36:e65–e67.
May U, Stirner KH, Lauener R, et al. Deodorant spray: a newly identified cause of cold burn. Pediatrics . 2010;126:e716–e718.
Avery AH, Rae L, Summitt JB, et al. The fire challenge: a case report and analysis of self-inflicted flame injury posted on social media. J Burn Care Res . 2016;37:e161–e165.
Caine PL, Tan A, Barnes D, et al. Self-inflicted burns: 10 year review and comparison to national guidelines. Burns . 2016;42:215–221.
Ring HC, Miller IM, Benfeldt E, et al. Artefactual skin lesions in children and adolescents: review of the literature and two cases of factitious purpura. Int J Dermatol . 2015;54:e27–e32.