Abstract

Early determination of depth remains important in burn management, since prompt surgical intervention in deep partial and full thickness burns produces superior healing. The use of laser Doppler imaging (LDI) is well established in the early assessment of burn depth and is reported to have an accuracy of approximately 97%, compared to between 65 and 80% for clinical observation [1,2]. LDI therefore has the potential to reduce in-patient stay. However, in a recent case involving a gentleman with forearm burns over an area of skin tattooing, we were unable to accurately assess the burn depth using the LDI. To our knowledge, this limitation of LDI has not been previously reported.

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