A Rare Case of Anal and Perianal Chemical Burn in a Child due to Potassium Permanganate Crystals

Potassium permanganate: A 'Desert Island drug' in Dermatology

Potassium permanganate (KMnO4) is an over the-counter available astringent with oxidising and antiseptic property used by the dermatologists since ages. It is often used as compresses and baths for various exudative dermatoses. Its advantages include lower cost, good healing rate and reduced allergenic potential. Chemical burns and associated staining of cloths and ceramics are the two important cutaneous adverse effects encountered with its use. Due to the its easy availability, chances for homicidal or accidental ingestion of this drug are high. The focus of this article is to increase awareness among dermatologists about is clinical use, adverse effects, systemic toxicity and its management.

Superstition, Misconceptions, and Magical Beliefs in Burns Patients-A Cross-Sectional Study of 100 Patients

Superstitious beliefs have been frequently encountered in our day-to-day practices among patients and caretakers. Though this is a common phenomenon, there is a paucity of data pertaining to these beliefs due to various reasons. Many of these beliefs are deep engraved into the culture and mindsets of the population. This is an observational study performed in Tertiary burn care center in India during period October 1, 2018 to January 31, 2019. Data from 100 patient units were collected through a set of questionnaires given to each of patient and their caregivers/family members and responses were collected and analyzed. In the food category of superstitions, there was a thought that white colored foods had to be avoided to avoid pus discharge and wound healing in 60% of the response; eating pomegranate or drinking the juice of pomegranate improves the hemoglobin in 80% of the response. Wearing various colored strings in various parts of the body seemed to be a dominant practice in 85% of the responses, wearing the hair with origin from human, donkeys, horses, and various animals was practiced in 45% of people and wearing peacock feathers was seen in 40% of patients. About 95% of the patients thought adversely to the idea of bathing or even contact of the water with the wounds. This study is an attempt to analyze the different parameters of superstition, misconception, and magical beliefs.