Lost

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Chlorodiethyl sulfide, skin damaging warfare agent, used as mustard gas especially in World War I.

Clinical picture
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Inflammatory redness 2 hours after contact, after 1-2 days of blistering lifting, after 8-10 days of blister tearing, greasy, necrotic wound surface, poor healing tendency.

Therapy
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Remove clothing, dab off any loose ends with 70% alcohol, brush on any AgNO3, H2O2, chloramine or potassium permanganate solutions, rinse with soap and water. Further local therapy as for burns.

Prognose
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Malignant epithelial tumours at the contact points are known to be late effects, Lost is considered to be strongly carcinogenic. Scarred healing depending on the depth of the necroses and the course of wound healing.

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Last updated on: 29.10.2020