Murat Orak, Mehmet Üstündağ, Cahfer Güloğlu, Halil Doğan, Yusuf Ali Altunci
CaseRepClinPractRev 2007; 8:128-131
Background: Frostbite is an injury that results from exposure to temperatures that are low enough to cause crystal formation in the exposed tissue. Frostbite is the acute freezing of the skin and tissues and usually develops following exposure to temperatures below -2°C for more than one
hour. The anatomical sites most susceptible to frostbite are hands and feet, which constitute 90% of frostbite injuries. So far there has been no certain treatment for frostbite.
Case Report: An 18 years old man in good general health suffered frostbite from 09.00 to 21.00 while working in a snowy beet field in December. He was directly in snow for 5-6 hours of that 12 hour. His shoes were too hard for his feet especially left foot. He complained when he arrived
home intensive pain, discoloration, lack of sensitivity and limited movement on his toes. He walks for a while and thaw feet near an owen. A day after frostbite he admitted regional hospital. At first we clean feet. But no blister debridement. Elevation, antibioterapy, analgesia (morphine sulphate 5 mg 1x1), enoksaparine 0.4 cc 1x1, pentoxiphiline 600 mg/day and aspirin 300 mg 1x1 were ordered in treatment. Tenth day patient’s effected areas lesions
improve and all laboratory parameters were in normal range so patient discharged.
Conclusions: Effective treatment of frostbite has not yet been exactly defined. The aim of frostbite treatment must be to salvage more reversibly injured cells.
Keywords: Frostbite, acute freezing of the skin, injury, treatment