Nitric acid is a corrosive acid and a powerful oxidizing agent. The major hazard posed by it is chemical burns, as it carries out acid hydrolysis with proteins (amide) and fats (ester), which consequently decomposes living tissue (e.g. skin and flesh). Concentrated nitric acid stains human skin yellow due to its reaction with the keratin. These yellow stains turn orange when neutralized. Systemic effects are unlikely, and the substance is not considered a carcinogen or mutagen.
The standard first-aid treatment for acid spills on the skin is, as for other corrosive agents, irrigation with large quantities of water. Washing is continued for at least 10–15 minutes to cool the tissue surrounding the acid burn and to prevent secondary damage. Contaminated clothing is removed immediately and the underlying skin washed thoroughly.
Being a strong oxidizing agent, nitric acid can react violently with many compounds.