Nezihat Rana Disel, Ayca Acikalin, Zeynep Kekec, Ahmet Sebe

Cukurova University, Faculty of Medicine, Department of Emergency Medicine, Adana, Turkey

Keywords: Organophosphate; Intoxication; Plasmapheresis; Dermal exposure; Ichthyosis

Abstract

Organophosphate (OP) compounds are extremely toxic chemicals that may be absorbed via skin, conjunctiva, gastrointestinal and respiratory systems. Treatment of OP poisoning is a critical and aggressive process which includes decontamination, antidote administration (atropin and oximes), mechanical ventilation support and extracorporeal elimination procedures if needed. Here we present a young female patient who was unintentionally poisoned by an OP (trichlorfon) after using it to moisture her skin. The importance of this patient is the dermal disease that makes her unprotective to dermal exposure of chemicals and application of plasmapheresis to treat her poisoning.