Silver deposits in cutaneous burn scar tissue is a common phenomenon following application of a silver dressing.

Abstract:

BACKGROUND:Silver dressings have been widely and successfully used to prevent cutaneous wounds, including burns, chronic ulcers, dermatitis and other cutaneous conditions, from infection. However, in a few cases, skin discolouration or argyria-like appearances have been reported. This study investigated the level of silver in scar tissue post-burn injury following application of Acticoat, a silver dressing. METHODS:A porcine deep dermal partial thickness burn model was used. Burn wounds were treated with this silver dressing until completion of re-epithelialization, and silver levels were measured in a total of 160 scars and normal tissues. RESULTS:The mean level of silver in scar tissue covered with silver dressings was 136 microg/g, while the silver level in normal skin was less than 0.747 microg/g. A number of wounds had a slate-grey appearance, and dissection of the scars revealed brown-black pigment mostly in the middle and deep dermis within the scar. The level of silver and the severity of the slate-grey discolouration were correlated with the length of time of the silver dressing application. CONCLUSIONS:These results show that silver deposition in cutaneous scar tissue is a common phenomenon, and higher levels of silver deposits and severe skin discolouration are correlated with an increase in the duration of this silver dressing application.

journal_name

J Cutan Pathol

authors

Wang XQ,Chang HE,Francis R,Olszowy H,Liu PY,Kempf M,Cuttle L,Kravchuk O,Phillips GE,Kimble RM

doi

10.1111/j.1600-0560.2008.01141.x

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

788-92

issue

7

eissn

0303-6987

issn

1600-0560

pii

CUP1141

journal_volume

36

pub_type

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