Acid burn- Self inflicted
Keywords:
Trichloroacetic acid, Acne scarring, Chemical peels, TCA, Chemical peelAbstract
Acne is one of the most common dermatoses presenting in dermatology clinics with the worldwide prevalence of 9.38%. An unfortunate sequel of acne is scaring which is usually atrophic but can be hypertrophic as well. Treatment of acne scarring has been greatly modified with the advancement in aesthetic medicine and cosmetology and clinicians can now choose from a variety of options tailoring to the specific needs of the patient and ultimate aesthetic goal. This report presents the case of a patient with severe acne scarring who self-medicated with TCA peel leading to superficial burns. This case is being reported to emphasize the importance of application of these peels under the direct supervision of an experienced healthcare professional or a dermatologist. The sale of chemical peels without prescription of a dermatologist should be banned and masses should be educated regarding the side effects of these seemingly harmless topical treatments.References
Heng AHS, Chew FT. Systematic review of the epidemiology of acne vulgaris. Scientific reports. 2020;10(1):5754.
Knutsen-Larson S, Dawson AL, Dunnick CA, Dellavalle RP. Acne vulgaris: pathogenesis, treatment, and needs assessment. Dermatologic Clinics. 2012;30(1):99-106.
Ahramiyanpour N, Rastaghi F, Parvar SY, Sisakht AK, Hosseini SA, Amani M. Subcision in acne scarring: a review of clinical trials. Journal of Cosmetic Dermatology. 2023;22(3):744-51.
Lee KC, Wambier CG, Soon SL, Sterling JB, Landau M, Rullan P, et al. Basic chemical peeling: superficial and medium-depth peels. Journal of the American Academy of Dermatology. 2019;81(2):313-24.
Truchuelo M, Cerdá P, Fernández L. Peeling químico, una herramienta útil en la consulta. Actas Dermo-Sifiliográficas. 2017;108(4):315-22.
Otley CC, Roenigk RK, editors. Medium-depth chemical peeling. Seminars in cutaneous medicine and surgery; 1996.
Bhardwaj V, Sharma K, Maksimovic S, Fan A, Adams-Woodford A, Mao J. Professional-Grade TCA-lactic acid chemical peel: elucidating mode of action to treat photoaging and hyperpigmentation. Frontiers in Medicine. 2021:97.
