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PubMed1994

Comparison of acidulated phosphate fluoride gel and hydrofluoric acid etchants for porcelain-composite repair.

Hydrofluoric acid etches porcelain to produce a porous surface visible under scanning electron microscopy when compared to an acidulated phosphate fluoride gel. Some investigators have suggested the greater porosity of the hydrofluoric acid etch produces a greater composite-to-porcelain bond. This investigation tested that assumption with two common fluoride etchants. The etched surfaces were first viewed under scanning electron microscopy to ensure that a characteristic etch was achieved. Both etchants yielded bond strengths that produced cohesive failure of all samples. This suggested that the intraoral use of hydrofluoric acid is no more effective than the less dangerous acidulated phosphate fluoride gel.

Acid Etching, Dental↗
PubMed2003

Asthma following household exposure to hydrofluoric acid.

BACKGROUND: Almost all reports of respiratory health effects of hydrofluoric acid are derived from industrial settings and usually involved massive and conspicuous exposures. In the present report we describe a case of adult-onset asthma immediately following use of a household rust stain remover that contained an 8-9% aqueous solution of hydrofluoric acid (HF). METHODS: This is a case-report. A literature search of hydrogen fluoride, and reactive airways dysfunction syndrome (RADS) was performed. RESULTS: A previously healthy 26-year-old woman developed asthma immediately following inhalation exposure to hydrofluoric acid from a household cleaner, consistent with reactive airways dysfunction syndrome. The circumstances of exposure and possible mechanism of disease are discussed. CONCLUSIONS: It is likely that this patient's use of the rust stain remover resulted in inhalation exposure to hydrofluoric acid well above any applicable standard, and hence constituted a "high level" irritant exposure capable of inducing reactive airways dysfunction syndrome. In our opinion, the presence of this concentration hydrofluoric acid in a consumer product may be unduly hazardous.

Adult↗
PubMed1989

[Polishing of titanium prosthetics (Part 6). The chemical polishing baths containing hydrofluoric acid and nitric acid].

Titanium was polished using several chemical polishing baths containing different ratios of hydrofluoric acid and nitric acid. The meltage, surface roughness, and surface texture of titanium samples after chemical polishing were affected by the ratio of hydrofluoric acid and nitric acid. Generally the meltage increased and surface roughness decreased when the mole concentration of hydrofluoric acid was high and that of nitric acid was low. For example the chemical polishing bath containing 5 mole hydrofluoric acid and 5 mole nitric acid improved the surface texture in one minute, but SEM observation revealed a partially rough surface caused by the excessive solution. The chemical polishing bath containing 1 mole hydrofluoric acid and 5 mole nitric acid did not improve the surface texture in a short time because of low solubility, but improved the surface texture gradually with the extension of the immersion time and a good surface texture was observed by SEM. The chemical polishing using the chemical polishing bath with low solubility and immersion of the prosthetics for a rather long time were considered useful procedures to obtain a smooth surface of titanium prosthetics while maintaining their accuracy.

Dental Polishing↗
PubMed1997

[Chemical burn caused by hydrofluoric acid in Kaohsiung area--a 5-year experience].

Hydrofluoric acid (HF) has been used extensively in industry and laboratory, and also is a common agent for occupational chemical burn. Severe pain and destruction of deep tissue layers occurred when skin was injured by hydrofluoric acid. Some fatal change may happen especially when hydrocalcemia was induced. For presentation of its special character and the use of antidote, we report one outbreak and six individual victims of hydrofluoric acid injury during the previous 5 years in Kaohsiung area. We hope medical personnel could have more accurate management and clinical care for those who are injured by HF, and workers should pay attention to any chemical agents they use to prevent any further injury as a result of careless use of such chemicals.

Adult↗
PubMed2001

Iontophoretic delivery of calcium for experimental hydrofluoric acid burns.

OBJECTIVE: To examine the efficacy of iontophoretic delivery of calcium to experimental hydrofluoric acid burns. DESIGN: Prospective, controlled study. SETTING: Institutional laboratory. SUBJECTS: Male nude rats. INTERVENTIONS: For the in vitro experiment, a full-thickness skin from the back was set in a vertical flow-through diffusion cell. Calcium chloride was applied to the donor chamber, and transdermal transport of calcium was examined with or without a voltage gradient of 1.5 V. Either intact skin or skin whose stratum corneum was stripped with adhesive tapes was used. For the in vivo experiment, hydrofluoric acid burns were induced by dispensing 50% hydrofluoric acid (50 microL) on the backs of the nude rats, who were under pentobarbital anesthesia. Rats were divided into four groups (n = 5 for each group): control group (burned but not treated); topical group (treated with calcium gluconate jelly); infiltration group (intradermal and subcutaneous injection of calcium gluconate); and iontophoresis group (treated with iontophoresis of calcium chloride at 1.5 V). Burn areas were measured and pathologic findings were classified microscopically into five stages at 1 wk: stage 1, epidermal burn; stage 2, superficial dermal burn; stage 3, deep dermal burn; stage 4, full-thickness burn; and stage 5, burn affecting the skeletal muscle. MEASUREMENTS AND MAIN RESULTS: In the in vitro experiment, calcium concentrations increased significantly only in stripped skins with a 1.5-V gradient. In the in vitro experiment, burn areas were reduced significantly in the iontophoresis group compared with the other three groups. Pathologic findings were significantly improved in the iontophoresis group compared with the control group. This efficacy of iontophoresis was observed when it was initiated within 30 mins after hydrofluoric acid burn. CONCLUSIONS: These results show that transdermal transport of calcium was enhanced in stripped skins by iontophoresis and that iontophoresis was more efficacious than topical or infiltration therapy for experimental hydrofluoric acid burns. Iontophoretic delivery of calcium seems to be easier than intra-arterial infusion and may be effective for the lesions where intra-arterial infusion is difficult.

Administration, Topical↗
PubMed2000

[An experimental study of myocardial injury by hydrofluoric acid in burned rabbits].

OBJECTIVE: To investigate the myocardial injury by hydrofluoric acid in burned rabbits METHODS: New Zealand white rabbits were injured with 2% TBSA III degree skin burn on the back by hydrofluoric acid. The blood and tissue samples were taken from the rabbit after injury for the detection of myocardial and related enzymes and the pathomorphological examination. RESULTS: (1) Postburn myocardial enzymes increased significantly compared to those before burn (P < 0.01). (2) All the myocardial enzymes reached their peak levels within 48 postburn hours and were higher than those before burn (P < 0.01). (3) Among all the enzymes, CPK increased by 97.5% and those of LDH, AST and CK-MB by 81.9%, 76.1% and 60.3%, respectively. (4) Pathomorphological findings with LM were the granular degeneration and focal necrosis of myocardial fibers, interstitial hemorrhage of myocardium accompanied with neutrophil and lymphocyte infiltration. Ultrastructural changes included myofibril decrease or even disappearing, severe cellular and mitochondrial swelling, disappearing of mitochondrial crista, endothelial swelling, decrease of electronic density with the exhibiting of bulla and deformation of myocardial cellular nucleus. CONCLUSION: Myocardial function could be damaged after hydrofluoric acid burn. Therefore, special attention should be paid to the protection of cardiac function after hydrofluoric acid burn by strengthening the monitoring of myocardial enzymes and ECG, etc.

Animals↗
PubMed2000

[Occupationally induced hydrofluoric acid burns: an analysis of 9 patients from the aspect of occupational health].

We report here 9 patients suffering from hydrofluoric acid burn who visited our clinic from July, 1979 to February, 2000. These 9 cases occupied 25% of all chemical burn cases experienced in our clinic. All the patients were men ranging in age from 20 to 53 (mean age 35 years; average 36.8 years). At the time of accidental exposures, 6 patients had been engaged in washing or cleaning work, and 2 had been changing the parts of instruments containing hydrofluoric acid. Eight patients received burns on the hands and/or fingers. During the work, 2 patients had used vinyl chloride or rubber gloves, but three patients employed no protection for the hands. After the symptoms began to develop, it was found that the glove of one patient had a pin hole. Coupled with the occasions described in previous reports, the causal factors of hydrofluoric acid burn could be divided as follows: 1) negligence or carelessness of workers, in particular skilled persons, in handling hydrofluoric acid, 2) ignorance of the dangerousness of hydrofluoric acid, 3) the presence of pin hole (s) in protection gloves, and 4) unexpected accident. Hydrofluoric acid is one of the most corrosive inorganic acids, and can produce progressive and serious tissue necrosis with severe pain. To prevent burns due to this chemical, enlightenment and reeducation of the workers regarding the hazard of hydrofluoric acid are necessary.

Accidents, Occupational↗
PubMed1979

[Fluorine content in the urine and in the serum of hydrofluoric acid workers as an index of health administration (author's transl)].

The behavior of fluoride ion level in the urine and in the serum was measured as an index for health care of workers exposed to hydrofluoric acid, the effect of fluorine-containing foodstuff intake by the workers being considered at the same time. For this study, 250 hydrofluoric acid workers and as a control group 1,600 non-hydrofluoric-acid workers were examined. All workers, ranging in age from 15 to 59 years old, came from the same electronics factory. Fluorides in the biological fluids were measured by using the fluoride ion-specific electrode method and the electrode potential recording method concurrently. The fluoride ion levels (geometric mean) in the urine and in the serum of the non-hydrofluoric-acid workers were determined to be 0.59 ppm and 12 ppb, respectively. Among the influences of fluorine-containing foodstuff on fluoride content in the biological fluids, the effect of black tea and/or green tea intake was particularly remarkable. In the case of the non-hydrofluoric-acid workers, the concentration increased to about double of the control value. Similarly in a diet test on volunteers, the concentration increased about six times. As for the response to tea intake with the lapse of time, the concentration in the urine specimen (spot urine, S.G. corrected: 1.024) reached the maximum value three hours after the intake. In the case of the serum specimen, the maximum value was recorded one hour after the intake, and the influence of the intake continued for several hours. These results suggest that, in the medical examination of hydrofluroic acid workers, restriction of intake of tea and in some cases even a fasting program would have to be introduced as necessary pre-conditions. Upon observation of fluorine concentration in the urine with the lapse of time of hydrofluoric acid workers restricting tea intake, it was confirmed that the trend of the day-to-day variation was small. But that of the in-a-day variation, namely, an increase in the concentration toward the end of daily working hours was obvious. By introduction of these well-regulated methods, it has become possible to properly evaluate even the influence of hydrofluoric acid on the workers irregularly exposed to a hydrofluoric acid environment having a lower concentration than that of the threshold limit value (3 ppm). However, in view of ease of collection and measurement of specimens, speed, and degree of response to the exposure, it can be concluded that the measurement of fluorine content in the urine is more advantageous as an index for the health care than that in the serum. For this reason it is desirable that the former method should be given priority from the view point of prevailing industrial hygiene laws and regulations.

Adolescent↗
PubMed1996

Fatality due to acute fluoride poisoning following dermal contact with hydrofluoric acid in a palynology laboratory.

A fatal accident involving concentrated hydrofluoric acid in a palynological laboratory is described. Similar deaths due to dermal exposure to concentrated hydrofluoric acid have been reported in the literature. It is evident that rigorous control measures including proper personal protective equipment and first aid are of utmost importance in the prevention of death and injury when handling hydrofluoric acid. Possible factors that may have contributed to the accident are reviewed.

Accidents, Occupational↗
PubMed1989

Gas chromatographic determination of (phosphorylated) 2-keto-3-deoxyoctonic acid, heptoses and glucosamine in bacterial lipopolysaccharides after treatment with hydrofluoric acid, methanolysis and trifluoroacetylation.

Quantification of phosphorylated sugar constituents of lipopolysaccharides has been performed by the following sequence: dephosphorylation by treatment with hydrofluoric acid, cleavage to monomeric constituents by methanolysis and analysis of the released sugars by capillary gas chromatography. Lipopolysaccharides of Salmonella minnesota Rd1P+, Bordetella pertussis NIH 114 and Vibrio cholerae, NAG and 95R strains, were used as model substances. Comparison of the chromatographic data obtained from hydrofluoric acid-treated and untreated lipopolysaccharide preparations indicated that all lipopolysaccharides examined contained one moiety of glucosamine bound to phosphate in a stable linkage. 2-Keto-3-deoxyoctonic acid appeared phosphorylated to a variable extent. Lipopolysaccharides of the two V. cholerae strains contained one moiety of fully phosphorylated 2-keto-3-deoxyoctonic acid, whereas in that of S. minnesota Rd1P+ only one of the three moieties was phosphorylated. Lipopolysaccharide of B. pertussis had one moiety of 2-keto-3-deoxyoctonic acid, ca. 70% phosphorylated. All four of the preparations examined contained L-glycero-D-manno-heptose in amounts varying from 2.6 to 5.2 moieties. In the lipopolysaccharides of B. pertussis and strain 95R of V. cholerae this sugar was unphosphorylated, whereas the two remaining strains contained one phosphorylated moiety of this sugar. Phosphorylated lipopolysaccharide constituents can be analysed by this approach on a 50-100 micrograms scale.

Bordetella pertussis↗
PubMed1985

Fatal systemic fluorosis due to hydrofluoric acid burns.

A patient with a 70% hydrofluoric acid burn developed systemic dissemination of fluoride ion from a 9% to 10% body surface area exposure on the lower extremities. Severe hypocalcemia and intractable ventricular arrhythmias resulted. This case is the second documented occurrence of hypocalcemia from hydrofluoric acid burns. It is the first case to document myocardial injury and systemic fluorosis from a skin burn.

Acidosis↗
PubMed1999

Ingestion of low-concentration hydrofluoric acid: an insidious and potentially fatal poisoning.

STUDY OBJECTIVE: The purpose of this study was to provide the first description of the effects of ingestion of low-concentration hydrofluoric acid in a population reported to a regional poison control center. METHODS: A retrospective analysis of data collected by trained personnel using a standardized data collection system was performed. All charts involving hydrofluoric acid exposures for a 2-year period from a certified regional poison control center were identified by a computerized search. Each chart was abstracted by trained and blinded personnel. RESULTS: There were 1,772 exposures to hydrofluoric acid; 135 involved ingestion. There were 99 cases of human hydrofluoric acid ingestion for analysis. All ingestions involved consumer products containing 6% to 8% hydrofluoric acid. Symptoms, most commonly mild gastrointestinal effects, were reported by 49 patients. Two patients with minimal effects during an observation period of 2 to 4 hours deteriorated suddenly and died. All other patients recovered completely. Of 29 cases in which calcium concentrations were recorded, 4 cases of hypocalcemia occurred. All patients who had major effects or died were adults who had ingested more than 3 ounces of hydrofluoric acid with suicidal intent. Death occurred precipitously in patients who had appeared well a few minutes earlier. CONCLUSION: Death occurred in 2 patients, both of whom were adults who had ingested more than 3 ounces with suicidal intent. Ingestion of a household product containing hydrofluoric acid is a potentially life-threatening condition that requires close monitoring and prompt therapy. The abrupt deterioration and lack of warning signs indicate the need for better diagnostic methods.

Adult↗
PubMed1992

Intravenous regional calcium gluconate perfusion for hydrofluoric acid burns.

We report a case in which acute digital hydrofluoric acid burns were treated with regional intravenous perfusion of calcium gluconate to relieve pain and protect from further tissue damage. This is the first documented instance of this technique being used. The conventional treatments for digital hydrofluoric acid burns all have their shortcomings; intravenous regional perfusion of calcium gluconate may be an effective method of treatment for digital hydrofluoric acid burns.

Burns, Chemical↗
PubMedDate not supplied

Hydrofluoric acid: a review of toxicity.

Hydrofluoric acid is a toxic substance used widely in both industrial and domestic settings. It can cause severe burns, as well as systemic toxicity. Death has been reported from as little as 2.5% body surface area (BSA) burn involving concentrated acid. Topical and parenteral calcium salts have proven effective therapy for both dermal and systemic manifestations. All emergency physicians should be aware of the unique complications and treatment of these injuries.

Administration, Topical↗
PubMed1985

Intra-arterial infusions in the treatment of hydrofluoric acid burns.

Burns due to hydrofluoric acid are uncommon, but are severe injuries. The mode of action is discussed briefly and the routine management of these patients is outlined. The use of intra-arterial infusions of calcium gluconate is stressed, and case reports are given to support its use.

Accidents, Occupational↗