Presentation
Patient presented many days after burns to hand from lightning.
Patient Data
Age: 60 years
Gender: Female
From the case:
Burns to hand
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Bone loss in second and fifth fingers associated with soft tissue loss and bone protruding through the soft tissue. Fixed flexion of fourth finger.
From the case:
Burns to hand
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/56740/annotated_viewer_json?iframe=true\u0026lang=us"}
Photograph of hand correlates with the x-ray images with bone protruding through the soft tissues in the second and fifth fingers. Skin changes from burns.
Case Discussion
Thermal burns from lightning are variable but in this case caused skin and muscle damage. Nerve destruction would also occur and thus the hand would be anaesthetized allowing painless injury to the hand to occur, such as in leprosy.