TIME COURSE: Exposure to white phosphorus may cause immediate burns that heal slowly. Systemic toxicity from white phosphorus exposure is classically
divided into 3 phases. The first phase, the gastrointestinal phase, occurs a few minutes to 8 hours following white phosphorus exposure. Shock during
this phase may be severe enough to cause death in 24 to 48 hours. The second phase, the asymptomatic phase, follows the first phase and lasts for 8
hours to 3 days. The third phase, the multi-organ failure and central nervous system injury phase, may begin 4 to 8 days after the second phase
begins, and may end in death.
EFFECTS OF SHORT-TERM (LESS THAN 8-HOURS) EXPOSURE: White phosphorus burns in air and causes severe burns upon contact with skin or eyes. White
phosphorus smoke will also cause eye and respiratory tract irritation. Other initial adverse health effects are primarily due to gastrointestinal
irritation.
EYE EXPOSURE: White phosphorus fumes cause severe irritation and the sensation of a foreign body in the eye. This leads to excessive tear production
(lacrimation), spasmodic blinking (blepharospasm), and increased sensitivity to light (photophobia). White phosphorus particles are caustic and
seriously damaging when in contact with tissues. They cause damage to the cornea, including perforation, inflammation of the interior of the eyeball
(endophthalmitis), and abnormal turning out of the eyelid (ectropion).
INGESTION EXPOSURE: Stage 1: Feeling of warmth or burning pain in the throat and abdomen accompanied by feelings of intense thirst; nausea, vomiting
(emesis), diarrhea, and severe abdominal pain; garlic odor to the breath, vomitus, and feces; vomitus and feces may glow (luminesce) and are capable
of causing burns on contact with skin; death may occur within 24 to 48 hours due to complete cardiovascular collapse.
INHALATION EXPOSURE: Eye and upper respiratory tract irritation are expected. Delayed onset of accumulation of fluid in the lungs (pulmonary edema) is
possible. Whole-body (systemic) effects may also occur. See Ingestion Exposure.
SKIN EXPOSURE: White phosphorus causes severely painful, partial (second degree) to full thickness (third degree) burns, which have a characteristic
yellow color and garlic-like odor. Smoke may be released from the burn site from the continued burning of white phosphorus or the formation of
phosphoric acid. White phosphorus is highly fat soluble, and easily absorbed through the skin, possibly causing whole-body (systemic) effects. See
Ingestion Exposure
|