Moist desquamation

Moist desquamation is a description of the clinical pattern seen as a consequence of radiation exposure where the skin thins and then begins to weep because of loss of integrity of the epithelial barrier and decreased oncotic pressure. Typically this occurs at doses of 15–20 Gray, far higher than any diagnostic scan and more typical of levels seen in radiotherapy or deployment of nuclear armament. Historically, this was a common phenomenon in Hiroshima and Nagasaki during World War II with the atomic bomb attacks from the United States.[1]

The phenomenon was famously described by John Hersey in his article, and later book, Hiroshima.

Clinical characteristics

Sloughing of the epidermis and exposure of the dermal layer clinically characterize moist desquamation. Outside of medical therapy, when moist desquamation is seen in the setting of nuclear warfare, the condition is generally thought to be fatal.

Treatment

Management of these partial-thickness wounds has been influenced by the Winter principle of moist wound healing, which suggests that wounds heal more rapidly in a moist environment. Hydrocolloid dressings applied directly to these wounds prevent the evaporation of moisture from the exposed dermis and create a moist environment at the wound site that promotes cell migration.

gollark: If you look at, say, HTTP internet radio stations which use ogg streams, then they appear to browsers and such as audio files which keep getting longer. I assume the format just allows you to stick ogg packets on the end and don't care much about declared length.
gollark: Are you implying a Discord server is more private than your actual computer or something?
gollark: I am DELIBERATELY reposting, "PyroBot".
gollark: It rickrolled me on the web version (Firefox). Differences in ogg parsing maybe.
gollark: https://media.discordapp.net/attachments/549759333014044673/795475287511924766/IMG_3266-1.png

References
  1. Huda, W. Review of Radiologic Physics. 3rd edition. Lippincott, Williams & Wilkins, 2009.
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