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A Histologic Perspective on Electrical and Thermal Burn-Injured Human Skin

Pielesz, Anna, PhD; Gawłowski, Andrzej, PhD; Biniaś, Dorota, PhD; Bobiński, Rafał, PhD; Kawecki, Marek, Prof Dr; Sama, Ewa, PhD; Waksmańska, Wioletta, PhD

Advances in Skin & Wound Care: May 2019 - Volume 32 - Issue 5 - p 1–7
doi: 10.1097/01.ASW.0000554446.59743.9f
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OBJECTIVE: To analyze specific spectroscopic (FT-Raman) and thermal (limiting oxygen index) aspects of skin samples exposed to electrical injury compared with thermal injury.

METHODS: An observational case-control study was conducted at the Dr Stanislaw Sakiel Center for Burns Treatment in Siemianowice, Silesia, Poland. A scanning electron microscope was used to diagnose and illustrate the topography of skin samples from electrical and thermal burns and the morphologic effects on damaged versus undamaged skin surfaces. In particular, researchers attempted to detect spectroscopic and thermal changes at the molecular level, namely, specific biomarkers of tissue degeneration and their regeneration under the influence of the applied modifiers (antioxidants and orthosilicic acid solutions).

RESULTS: Modification with L-ascorbic acid and hydrogel of orthosilicic acid caused an increase in the intensity of the amide I Raman peaks, whereas modification with sodium ascorbate and orthosilicic acid resulted in the separation of the band protein side chains (1,440–1,448 cm−1), which is a part of tissue regeneration. The best result was obtained when the skin was treated with 7% orthosilicic acid (limiting oxygen index, 26%).

CONCLUSIONS: Antioxidant treatment may be advantageous in minimizing injury in patients with thermal burns but not always in electrical burns.

At the University of Bielsko-Biala, Poland, Anna Pielesz, PhD, is Professor, Faculty of Materials, Civil and Environmental Engineering; Andrzej Gawłowski, PhD, is Professor, Faculty of Materials, Civil and Environmental Engineering; Dorota Biniaś, PhD, is Professor, Faculty of Materials, Civil and Environmental Engineering; Rafał Bobiński, PhD, is Dean, Faculty of Health Sciences; Marek Kawecki, Prof Dr, is Professor, Faculty of Health Sciences; Ewa Sama, PhD, is Professor, Faculty of Materials, Civil and Environmental Engineering; and Wioletta Waksmańska, PhD, is Vice Dean, Faculty of Health Sciences.

The authors have disclosed no financial relationships related to this article.

Submitted July 2, 2018; accepted August 3, 2018.

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