184 Poisoning and Paediatric Skin

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11 Dawson JP, Thayer WW, Desforges JF. Acute hemolytic anemia in the newborn infant due to naphthalene poisoning. Report of two cases with investigation into the mechanism of the disease. Blood 1958;13:1113–25.


12 Schafer WB. Acute hemolytic anemia related to naphthalene. Report of a case in a newborn infant. Pediatrics 1951;7:172–4.


13 Siegel E, Wason S. Mothball toxicity. Pediatr Clin North Am 1986;33:369–74.


14 Roth B, Bulla M, von Lilien T, Statz A, Okonek S. Clinical findings and treatment of paraquat poisoning in childhood. Monatsschr Kinderheilk 1983;131:458–63.


15 Weinbaum Z, Samuels SJ, Schenker MB. Risk factors for occupational illnesses associated with the use of paraquat (1,1′-dimethyl-4,4′-bipyridylium dichloride) in California. Arch Environ Health 1995;50:341–8.


16 André N, Paut O, Arditti J et al. Intoxication grave au dichromate de potassium après introduction nasale accidentelle. Arch Pèdiatr (Paris) 1998;5:145–8.


Cutaneous Symptoms Following Ingestion, Inhalation and Injection of Some Toxicants


Systemic poisoning by ingestion, inhalation or injection of some toxicants (see Box 184.2) may produce cutaneous symptoms. However, the reports in infants are very few.



Box 184.2 Selected Agents Associated with Cutaneous Toxicity Following Systemic Exposure in Children


Chemotherapeutic agents


Alkylating agents



  • Cyclophosphamide
  • Decarbazine
  • Nitrosoureas

Antibiotics



  • Adriamycin
  • Daunomycin
  • Actinomycin D
  • Bleomycin

Antimetabolites



  • Methotrexate
  • 5-Fluorouracil
  • Cytarabine
  • Dioxins

Hexachlorobenzene


Pentachlorophenol


Thallium


Dioxins


After an accident in a chemical plant in Seveso, Italy, 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) spread over a populated area. The entire population, including children, was affected and contamination took place not only through direct exposure but also through inhalation and ingestion of contaminated foods, especially fruits and vegetables.

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Apr 26, 2016 | Posted by in Dermatology | Comments Off on 184 Poisoning and Paediatric Skin

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