Acute urticaria and angioedema caused by horse-chestnut  (Aesculus hippocastanum) ingestion: a case report : At kestanesi (Aesculus hippocastanum) yenmesine bağlı gelişen akut ürtiker ve  anjioödem: olgu sunumu

Emine Akıncı; Oğuzhan Oğuztürk; Figen Coşkun

doi:10.5455/GMJ-30-2011-53

Authors

Emine Akıncı Ankara Training and Research Hospital, Emergency Department, Ankara
Oğuzhan Oğuztürk Ankara Training and Research Hospital, Emergency Department, Ankara
Figen Coşkun Ankara Training and Research Hospital, Emergency Department, Ankara

DOI:

https://doi.org/10.5455/GMJ-30-2011-53

Keywords:

Acute urticaria, angioedema, horse-chestnut

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.

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References

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)

Sirtori CR. Aescin: pharmacology, pharmacokinetics and therapeutic profile. Pharmacol Res 2001;44(3):183-93.

Goldberg R, Lawton R, Newton E, Line WS JR. Evaluation and management of acute uvular edema. Ann Emerg Med 1993;22(2):251-5.

Kuo DC, Barish RA. Isolated uvular angioedema associated with ACE inhibitor use. J Emerg Med 1995;13(3):327-30.

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.

Savage A, Hutchings A. Poisoned by herbs. Br Med J 1987;295(6613):1650-1.

Chestnut, Horse. http://botanical.com/botanical/mgmh/c/chehor 58.html (access date: 24/11/2011)

Methlie CB, Schjøtt J. Horse chestnut--remedy for chronic venous insufficiency. Tidsskr Nor Laegeforen 2009;129(5):420- 2.

Rathbun SW, Kirkpatrick AC. Treatment of chronic venous insufficiency. Curr Treat Options Cardiovasc Med 2007;9(2):115-26.

Harwood DG, McPherson GC, Woodger NG. Possible horse chestnut poisoning in a Cashmere goat. Vet Rec 2010;167(12):461-2.

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.