The characteristic features of high-voltage electrical burns are their capacity to extend in depth and the extensive tissue damage they cause, with considerable functional consequences. The initial treatment of electrical burns is always complicated by a basic problem due to the difficulty of diagnosis, when the depth and extent of such lesions are regularly underestimated. This is because skin necrosis extends progressively until day 4 post-burn as a result of vascular thrombosis, with the result that an accurate estimate of the extent and depth of such lesions is difficult any earlier. We present the illustrated case of a young male patient admitted to our department following high-voltage burns who benefited from surgical treatment in the acute phase and from later secondary repair.
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