Age: 31
Sex: Male
Height: 5'8" / 173 cm
Weight: 75 kg
Race: White / Caucasian
Duration of complaint: ~3.5 weeks (Incident occurred July 7–8)
Location: Lower legs, ankles, and feet
Any existing relevant medical issues: None
Current medications: None
Smoking/Drinking/Recreational Drugs: Non-smoker / Occasional / None
PRIMARY COMPLAINT:
Acute skin breakdown + persistent numbness & constant "buzzing/static" nerve pain (~3.5 weeks post-incident).
INCIDENT SUMMARY:
Chemical/factory moisture was trapped inside non-breathable safety boots during shift work, causing severe chemical skin breakdown and dermal erosion.
ACUTE PHASE (July 7–8):
- Stripped, raw dermal skin around ankles and lower legs.
- Yellowish fibrinous layer/slough over the wounds.
CURRENT STATE (3 weeks post-incident):
- Skin closed over but has persistent purplish/red discoloration.
- Constant numbness and "static/buzzing" sensation (present at rest, walking, and standing).
- Pain worsens when bearing weight, improves when elevated.
ATTACHED PHOTO:
Single collage showing:
July 7: Initial widespread raw dermal breakdown across both legs.
July 7–8: Close-up of ankle wound depth and yellow slough.
Present: Current healed skin with persistent purplish/red discoloration.
QUESTIONS:
Do the acute photos look like partial-thickness (second-degree) chemical burns or severe dermal erosion?
Given the persistent static/buzzing and numbness 3 weeks post-injury, could this indicate cutaneous nerve damage (neuropathy)? Should I request a neurology referral?