Hydrofluoric Acid Burn of the Hand – A Rare Emergency

AbstractIntroductionWe report on successful endovascular treatment of a hydrofluoric acid burn to the hand.ReportA worker complained of severe pain in the fingers D II to D V after injury with 60% hydrofluoric acid. A digital subtraction angiography showed vasospasm of the common palmar digital artery. We selectively applied 20% calcium gluconate intra-arterially.After treatment all arteries were perfused. Alprostadil, acetylsalicylic acid and clopidogrel were administered in conjunction. Pain symptoms improved and sensory and motor functions were restored.DiscussionImmediate angiography and intra-arterial application of calcium gluconate are recommended to treat hydrofluoric acid burn to a limb