Blindness lewisite toxicity

In pure liquid form, lewisite causes blindness, immediate destruction of lung tissue, and systemic blood poisoning. It is absorbed through the skin like distilled mustard, but is much more toxic to the skin. Skin exposure results in immediate pain a rash forms within 30 minutes. Severe chemical burns are possible. Blistering of the skin takes up to 13 hours to develop. Lewisite does not dissolve in human sweat. It commingles with sweat, then flows to tender skin areas such as the inner arm, buttocks, and crotch. 

Pediatric exposures to vesicants can be quite toxic however, in contrast to nerve agent exposures, HD causes significantly greater morbidity than mortality. While mustard did not cause many deaths in WWI, death from HD exposure is usually due to massive pulmonary damage complicated by infection (bronchopneumonia) and sepsis. Children often show a quicker onset and greater severity of toxicity. Skin and eye toxicity occurs in the form of blisters or irritation that can result in blindness for the most severe cases. Except for lewisite, vesicant exposures must be managed with supportive care and rapid decontamination. 

Lewisite is a vesicant and toxic lung-irritant that is absorbed into tissues. If inhaled in high concentrations, it can be fatal in as little as 10 minutes the body is unable to detoxify itself from lewisite exposure. Routes of entry into the body include the eyes, skin absorption, and inhalation. Eye contact results in pain, inflammation, and blepharospasm (spasms of the muscles of the eyelid), which leads to closure of the eyelids, comeal scarring, and iritis (inflammation of the iris). If decontamination of the eyes occurs quickly after exposure, damage may be reversible however, permanent injury or blindness can occur within one minute of exposure. 

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