PART A – Dermatological findings after alleged torture
arranged in an asymmetric pattern, mostly
obliquely directed down the legs. They
showed signs of external infliction in agreement with a liquid running down the legs,
and they indicated sequels to necrotic areas
as expected following a corrosive injury.
6. ELECTRICAL INJURIES
Electric current follows the shortest
route between the two electrodes
through tissue with the lowest resistance, i.e. blood vessels, nerves and
muscles (Danielsen, 2002). When
using high-voltage stun weapons,
the current flow cannot, however,
be limited to the pathway between
the electrodes (Amnesty International, 1999).
The possibility of finding signs of electrical influence in the skin, particularly
histological signs, is related to the type of
electricity transferred, since the electrolytic
action will be most pronounced by transfer
of direct current and will not be present following transfer of high-frequency alternating current, where the concomitant heat
generation dominates (Danielsen, 2002).
Also, the amount of energy used plays a role
for a domination of burn injuries in the lesions, particularly concerning low frequency alternating current.
In some of the cases, electric torture leaves
acute lesions on the skin. Unlike burn lesions, these lesions usually do not reflect
the shape of the instrument used, but appear in segments within the influenced areas, since the current selects areas with low
resistance (Dyhre-Poulsen et al., 1977, Danielsen et al., 1978, Danielsen et al., 1978).
Electrical torture via electrodes shaped like
a knitting needle, “Picana”, leaves clusters and linear arrangements of 1-5 mm
9
wide lesions, covered by red-brown crusts,
sometimes surrounded by a 1-2 mm broad,
erythematous zone with irregular and indistinct edges (Rasmussen, 1990). Lesions
in lines following a linear application of
the electrodes may also be seen. The crusts
probably correspond to an electrical injury
and may contain deposits of metal from the
electrodes (Thomsen, 1984; Jacobsen, 1997).
The concomitant heat development has not
been sufficient to induce a regular inflammation in the periphery.
≠≠ Differential diagnosis may be insect bites
or scratching.
Many, a few mm large, red lesions have been
seen following the use of a battery-driven
electrical instrument (TAT-Group against
Torture 2001).
≠≠ A contact dermatitis may be a differential diagnosis.
Well-demarcated, serpiginous lesions, measuring 1-2 cm across, with an irregular, narrow, elevated, peripheral zone and a central
area containing several black spots, each
measuring 1-2 mm, have been observed
shortly after electrical injuries on the left side
of the chest and on the left arm (Danielsen
et al., 1991). The lesions show indication of
electrical injury because of their appearance
in 1-2 mm large segments and because of the
involvement of blood vessels.
≠≠ Vasculitis or haemorrhagic herpes zoster
might constitute a differential diagnosis. The location might be helpful since
vasculitis is chiefly located at the lower
extremities, is symmetrical and is sometimes more diffusely located, while herpes zoster is located in an area innervated
by a single ganglion and is unilateral.
Clusters of round, red macular scars, about
1 mm in diameter, have been observed four
weeks after “Picana” (Kjærsgaard & Genefke, 1977). Eight weeks later, many of the
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