1. Case Report: Unravelling the Mysterious Lichtenberg Figure Skin Response in a Patient With a High-Voltage Electrical Injury
- Author
-
Andrew Lindford, Viljar Jaks, Susanna Juteau, Esko Kankuri, Jyrki Vuola, Heli Lagus, Mariliis Klaas, HUS Musculoskeletal and Plastic Surgery, Plastiikkakirurgian yksikkö, Helsinki University Hospital Area, University of Helsinki, HUSLAB, Department of Pathology, HUS Diagnostic Center, Clinicum, Esko Markus Kankuri / Principal Investigator, Medicum, and Department of Pharmacology
- Subjects
Pathology ,medicine.medical_specialty ,Medicine (General) ,skin ,electrical injury ,Case Report ,Lichtenberg figure ,03 medical and health sciences ,0302 clinical medicine ,HOST-DEFENSE ,R5-920 ,Pathognomonic ,Medicine ,030304 developmental biology ,0303 health sciences ,business.industry ,Skin response ,IRON ,General Medicine ,Extravasation ,Pathophysiology ,3. Good health ,lactoferrin ,tissue response ,030220 oncology & carcinogenesis ,3121 General medicine, internal medicine and other clinical medicine ,Immunohistochemistry ,Lichtenberg figures ,business - Abstract
cited By 0 We describe a case of Lichtenberg Figures (LFs) following an electrical injury from a high-voltage switchgear in a 47 year-old electrician. LFs, also known as ferning pattern or keraunographic markings, are a pathognomonic skin sign for lightning strike injuries. Their true pathophysiology has remained a mystery and only once before described following an electical injury. The aim was to characterise the tissue response of LFs by performing untargeted non-labelled proteomics and immunohistochemistry on paraffin-embedded sections of skin biopsies taken from the area of LFs at presentation and at 3 months follow-up. Our results demonstrated an increase in dermal T-cells and greatly increased expression of the iron-binding glycoprotein lactoferrin by keratinocytes and lymphocytes. These changes in the LF-affected skin were associated with extravasation of red blood cells from dermal vessels. Our results provide an initial molecular and cellular insight into the tissue response associated with LFs.
- Published
- 2021
- Full Text
- View/download PDF