title: Anticholinergic toxicity associated with lupin seed ingestion: case report.
abstract: We describe a case of acute poisoning in a 51-year-old female patient who presented to the Emergency Department with weakness, anxiety, dry mouth, bilateral mydriasis and lid drop. In differential diagnosis, botulism, Guillain-Barré syndrome and myasthenia gravis were considered, as well as cerebral haematoma because of a cranial injury a week before. Symptoms, which resolved within 12 h without any therapy, were instead related to the ingestion of lupin seeds.
authors.affiliation: Unità Operativa di Medicina e Chirurgia d'Accettazione e d'Urgenza, Azienda Ospedaliera S. Elia, Caltanissetta, Italy. adigrande@yahoo.it
authors.forename: Aulo
authors.initials: A
authors.lastname: Di Grande
authors.forename: Rosario
authors.initials: R
authors.lastname: Paradiso
authors.forename: Salvatore
authors.initials: S
authors.lastname: Amico
authors.forename: Giovanni
authors.initials: G
authors.lastname: Fulco
authors.forename: Bruno
authors.initials: B
authors.lastname: Fantauzza
authors.forename: Paola
authors.initials: P
authors.lastname: Noto
mesh_terms: D018680:Cholinergic Antagonists / Q000506:poisoning*; D003296:Cooking / Q000592:standards; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D031297:Lupinus / Q000506:poisoning*; D008875:Middle Aged; D015878:Mydriasis / Q000139:chemically induced* / Q000175:diagnosis*; D010945:Plants, Edible / Q000506:poisoning*; D012639:Seeds / Q000506:poisoning*
chemical_list: D018680:Cholinergic Antagonists