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Successful Skin Homografting From an Identical Twin in a Severely Burned Patient

Turk, Emin MD*; Karagulle, Erdal MD*; Turan, Hale MD; Oguz, Hakan MD*; Abali, Ebru Sakallioglu MD*; Ozcay, Necdet MD*; Moray, Gokhan MD*; Haberal, Mehmet MD, FACS*

Journal of Burn Care & Research:
doi: 10.1097/BCR.0b013e3182957572
Case Reports
Abstract

Flame burns are a serious condition and usually have high morbidity and mortality because they affect large areas of the body surface as well as the lungs. In these patients, it is especially difficult to find healthy skin for grafting if they have more than 70% third-degree burns. Repeated autografting or synthetic wound care materials are the only treatment options to cover burned areas. Partial-thickness skin grafting from the patient’s identical twin sibling may be an alternative treatment option, if possible. Here, we report a patient with severe flame injury treated with skin from his identical twin. The patient had third-degree burns covering 70% of his body surface. Initial treatment consisted of fluid and electrolyte replacement, daily wound care, and surgical debridements, as well as nutritional support. After initial treatment, we performed a successful skin grafting from his identical twin. Skin grafting between identical twins might be an alternate method for severely burned patients. (J Burn Care Res 2014;35:e177–e179)

Author Information

From the *Department of General Surgery, Burn and Fire Disasters Institute, Ankara, Turkey; and Department of Infectious Diseases and Clinical Microbiology, Baskent University Faculty of Medicine, Ankara, Turkey.

The authors declare no competing interests and no funding statement.

Address correspondence to Erdal Karagulle, MD, Baskent Universitesi, Konya Hastanesi Hocacihan mah. Saray caddesi No:1, Selcuklu, Konya 42080, Turkey.

© 2014 The American Burn Association