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Symptoms of skin exposure to dilute HF are not felt immediately, but exposure of less than 10% of the body to it can be fatal, even with immediate medical treatment. Highly concentrated solutions may lead to acute hypocalcemia, followed by cardiac arrest and death, and will usually be fatal in as little as 2% body exposure (about the size of the sole of the foot). This substance is extremely toxic and has the capacity to kill upon exposure rather than simply damage skin and eyes. It should be handled with extreme care, beyond that given to hydrochloric, sulfuric, or other mineral acids.

Due to low dissociation constant, HF can penetrate tissues quickly like a small non-polar particle. Hydrofluoric acid which comes into direct contact with the fingers can severely damage or destroy the tissue underneath the nail without causing any damage to the nail itself. It is this ability to cause little harm to outer tissues but considerable harm to inner tissues which can produce dangerous delays in treatment of hydrofluoric acid exposure. Once the pain starts, it is out of proportion to the burns produced. Patients often describe the feeling as if they have struck their fingers with a hammer. HF that penetrates under the skin causes later development of painful ulcers, which heal slowly.