BibTex RIS Cite

At kestanesi (aesculus hippocastanum) yenmesine bağlı gelişen akut ürtiker ve anjioödem: olgu sunumu

Year 2012, Volume: 18 Issue: 1, 37 - 38, 01.02.2012

Abstract

Acute urticaria and angioedema, which can develop due to various causes, are common life threatening condition seen in emergency departments (EDs). The literature includes reports of angioedema cases developing after contacting various plants and seeds. We present the case of a 47-year-old male patient who developed acute urticaria and angioedema after eating horse-chestnut (aesculus hippocastanum). The patient presented to the ED with redness and irritation spread around the body and swelling of the tongue, all of which had started approximately one hour after consuming horse-chestnut. The patient was found to have a minimal uvular and upper lip edema, bilateral teeth marks on his tongue, and widespread maculopapular eruptions all over his body. He was treated with intravenous steroid and antihistaminic. After an 8-hour observation period, the signs and symptoms of the condition abated and the patient was discharged with suggestions.

References

  • 1. Aesculus hippocastanum (horse chestnut). Alternative Medicine Review 2009;14(3):278-83
  • http://www.thorne.com/altmedrev/.fulltext/14/3/278.pdf (access date: 24/11/2011) 2. Sirtori CR. Aescin: pharmacology, pharmacokinetics and therapeutic profile. Pharmacol Res 2001;44(3):183-93
  • 3. Goldberg R, Lawton R, Newton E, Line WS JR. Evaluation and management of acute uvular edema. Ann Emerg Med 1993;22(2):251-5
  • 4. Kuo DC, Barish RA. Isolated uvular angioedema associated with ACE inhibitor use. J Emerg Med 1995;13(3):327-30
  • 5. Chan TYK, Tam HP, Lai CK, Chan AYW. A multidisciplinary approach to the toxicologic problems associated with the use of herbal medicines. Ther Drug Monit 2005;27(1):53-7
  • 6. Savage A, Hutchings A. Poisoned by herbs. Br Med J 1987;295(6613):1650-1
  • 7. Chestnut, Horse. http://botanical.com/botanical/mgmh/c/chehor 58.html (access date: 24/11/2011) 8. Methlie CB, Schjøtt J. Horse chestnut--remedy for chronic venous insufficiency. Tidsskr Nor Laegeforen 2009;129(5):420- 2
  • 9. Rathbun SW, Kirkpatrick AC. Treatment of chronic venous insufficiency. Curr Treat Options Cardiovasc Med 2007;9(2):115-26
  • 10. Harwood DG, McPherson GC, Woodger NG. Possible horse chestnut poisoning in a Cashmere goat. Vet Rec 2010;167(12):461-2
  • 11. Escribano MM, Munoz-Bellido FJ, Velazquez E, Delgado J, Serrano P, Guardia J, et al. Contact urticaria due to aescin
  • Contact Dermatitis 1997:37(5);233

Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report

Year 2012, Volume: 18 Issue: 1, 37 - 38, 01.02.2012

Abstract

Birçok sebebe bağlı gelişebilen akut ürtiker ve anjioödem acil servislerde sık karşılaşılan yaşamı tehdit edebilen durumlardan biridir. Birçok bitki ve tohumlarına bağlı anjioödem olguları bildirilmiştir. Biz at kestanesi (aesculus hippocastanum) yedikten sonra akut ürtiker ve anjioödem gelişen 47 yaşındaki hastamızı sunuyoruz. Hasta acil servise at kestanesi yedikten yaklaşık 1saat sonra vücutta kızarıklık kaşıntı, dilde şişme şikâyeti ile başvurdu. Fizik muayenesinde de minimal uvula ödemi, tüm vücutta yaygın, makulopapüler döküntüsü tespit edildi. Hasta intravenöz steroid ve antihistaminikle tedavi edildi. Belirti ve bulguları 8 saat sonunda gerileyen hasta gerekli öneriler ile taburcu edildi.

References

  • 1. Aesculus hippocastanum (horse chestnut). Alternative Medicine Review 2009;14(3):278-83
  • http://www.thorne.com/altmedrev/.fulltext/14/3/278.pdf (access date: 24/11/2011) 2. Sirtori CR. Aescin: pharmacology, pharmacokinetics and therapeutic profile. Pharmacol Res 2001;44(3):183-93
  • 3. Goldberg R, Lawton R, Newton E, Line WS JR. Evaluation and management of acute uvular edema. Ann Emerg Med 1993;22(2):251-5
  • 4. Kuo DC, Barish RA. Isolated uvular angioedema associated with ACE inhibitor use. J Emerg Med 1995;13(3):327-30
  • 5. Chan TYK, Tam HP, Lai CK, Chan AYW. A multidisciplinary approach to the toxicologic problems associated with the use of herbal medicines. Ther Drug Monit 2005;27(1):53-7
  • 6. Savage A, Hutchings A. Poisoned by herbs. Br Med J 1987;295(6613):1650-1
  • 7. Chestnut, Horse. http://botanical.com/botanical/mgmh/c/chehor 58.html (access date: 24/11/2011) 8. Methlie CB, Schjøtt J. Horse chestnut--remedy for chronic venous insufficiency. Tidsskr Nor Laegeforen 2009;129(5):420- 2
  • 9. Rathbun SW, Kirkpatrick AC. Treatment of chronic venous insufficiency. Curr Treat Options Cardiovasc Med 2007;9(2):115-26
  • 10. Harwood DG, McPherson GC, Woodger NG. Possible horse chestnut poisoning in a Cashmere goat. Vet Rec 2010;167(12):461-2
  • 11. Escribano MM, Munoz-Bellido FJ, Velazquez E, Delgado J, Serrano P, Guardia J, et al. Contact urticaria due to aescin
  • Contact Dermatitis 1997:37(5);233
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Emine Akıncı This is me

Oğuzhan Oğuztürk This is me

Figen Coşkun This is me

Publication Date February 1, 2012
Published in Issue Year 2012 Volume: 18 Issue: 1

Cite

APA Akıncı, E., Oğuztürk, O., & Coşkun, F. (2012). Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report. Gaziantep Medical Journal, 18(1), 37-38.
AMA Akıncı E, Oğuztürk O, Coşkun F. Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report. Gaziantep Medical Journal. February 2012;18(1):37-38.
Chicago Akıncı, Emine, Oğuzhan Oğuztürk, and Figen Coşkun. “Acute Urticaria and Angioedema Caused by Horse-Chestnut (aesculus Hippocastanum) Ingestion: A Case Report”. Gaziantep Medical Journal 18, no. 1 (February 2012): 37-38.
EndNote Akıncı E, Oğuztürk O, Coşkun F (February 1, 2012) Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report. Gaziantep Medical Journal 18 1 37–38.
IEEE E. Akıncı, O. Oğuztürk, and F. Coşkun, “Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report”, Gaziantep Medical Journal, vol. 18, no. 1, pp. 37–38, 2012.
ISNAD Akıncı, Emine et al. “Acute Urticaria and Angioedema Caused by Horse-Chestnut (aesculus Hippocastanum) Ingestion: A Case Report”. Gaziantep Medical Journal 18/1 (February 2012), 37-38.
JAMA Akıncı E, Oğuztürk O, Coşkun F. Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report. Gaziantep Medical Journal. 2012;18:37–38.
MLA Akıncı, Emine et al. “Acute Urticaria and Angioedema Caused by Horse-Chestnut (aesculus Hippocastanum) Ingestion: A Case Report”. Gaziantep Medical Journal, vol. 18, no. 1, 2012, pp. 37-38.
Vancouver Akıncı E, Oğuztürk O, Coşkun F. Acute urticaria and angioedema caused by horse-chestnut (aesculus hippocastanum) ingestion: a case report. Gaziantep Medical Journal. 2012;18(1):37-8.