Severe destruction of the upper respiratory structures after brief exposure to a dieffenbachia plant

Dieffenbachia is a common domestic plant. Oral contact with the plant generally causes slight effects, but when chewed it may result in painful oropharyngeal edema. Even though the mechanism through which this plant causes toxicity is not known, calcium oxalate crystals (rhaphides) and protease in t...

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Veröffentlicht in:The Journal of craniofacial surgery 2013-05, Vol.24 (3), p.e245-e247
Hauptverfasser: Altin, Gokhan, Sanli, Arif, Erdogan, Banu Atalay, Paksoy, Mustafa, Aydin, Sedat, Altintoprak, Niyazi
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container_issue 3
container_start_page e245
container_title The Journal of craniofacial surgery
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creator Altin, Gokhan
Sanli, Arif
Erdogan, Banu Atalay
Paksoy, Mustafa
Aydin, Sedat
Altintoprak, Niyazi
description Dieffenbachia is a common domestic plant. Oral contact with the plant generally causes slight effects, but when chewed it may result in painful oropharyngeal edema. Even though the mechanism through which this plant causes toxicity is not known, calcium oxalate crystals (rhaphides) and protease in the idioblast of the plant are considered to be the causes. Our aim was to show the lethal effects of a common domestic plant named Dieffenbachia.A 70-year-old male patient applied to our clinic with aphasia, dysphagia, sialorrhea, wounds on the lips and tongue, and swelling on the face. There was edema on his tongue, soft palate, uvula, anterior pharyngeal plica, epiglottis and aryepiglottic fold, and ulceration on the right side of his tongue, the right cheek mucosa, right-lower gingival, soft palate, tongue base, epiglottis anterior surface, and free edge.Dieffenbachia toxicity presents both minimal and serious problems, which can be life threatening, as in our case. Toxic cases resulting in serious clinical pictures due to Dieffenbachia are rare.
doi_str_mv 10.1097/SCS.0b013e318286068b
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subjects Aged
Araceae - toxicity
Dentistry
Edema - etiology
Gingival Diseases - etiology
Humans
Laryngeal Edema - etiology
Lip Diseases - etiology
Male
Mouth Diseases - etiology
Mouth Mucosa - pathology
Necrosis
Oral Ulcer - etiology
Palate, Soft - pathology
Pharyngeal Diseases - etiology
Plant Poisoning - etiology
Plants, Toxic
Tongue Diseases - etiology
Uvula - pathology
title Severe destruction of the upper respiratory structures after brief exposure to a dieffenbachia plant
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