Surgery for a tree surgeon? Acute presentation of contact dermatitis due to Ailanthus altissima.

Autor: Bennett WO; Department of Plastic and Reconstructive Surgery, Derriford Hospital, Derriford Road, Crownhill, Plymouth PL6 8DH, United Kingdom. warben@gmail.com, Paget JT, Mackenzie D
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2013 Mar; Vol. 66 (3), pp. e79-80. Date of Electronic Publication: 2012 Dec 26.
DOI: 10.1016/j.bjps.2012.11.040
Abstrakt: A tree surgeon presented to hospital with multiple blackening, non-blanching regions of skin on both forearms, following exposure to sap from the 'tree of heaven' (Ailanthus altissima). A referral to plastic surgery was made to consider debridement. Following input from the national poisons centre and dermatology, conservative management with emollient was undertaken. The lesions blistered and exfoliated and were treated with topical steroid and oral antihistamines. Resolving erythema was the only symptom at three weeks. A. altissima, also known as the 'tree of heaven' has known toxins in its bark, leaves and flowers but is also commonly used in folk medicine. Two previous cases of contact dermatitis are reported in the literature but not with acute photo documentation of the lesions or with surgical referral. This demonstrates an important lesson that debridement would not be the appropriate management despite the initial presentation.
(Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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