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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.