Cessation of nail growth following Bajiaolian intoxication.
Bajiaolian (Dysosma pleianthum), a species in the Mayapple family (Podophyllum pelatum), has been widely used as a traditional Chinese herbal medication for the remedies of snake bite, tumor growth, post-partum recovery, and acne. It has also been used in western medicine, especially topically for various skin lesions. Both oral ingestion and dermal application may result in severe toxicity. The clinical presentations reported after Bajiaolian poisoning include nausea, vomiting, diarrhea, abdominal cramps, tachycardia, orthostatic hypotension, paralytic ileus, urinary retention, hepatorenal dysfunction, leukocytosis followed by leukopenia, thrombocytopenia, prolonged areflexia, prolonged paraethesia and sensory ataxia, dizziness, fever, memory impairment, hallucinations, paranoia, convulsion, fainting, and coma. There are no previous reports in the literature about the cessation of nail growth as a clinical presentation following Bajiaolian poisoning. We present a case of nail growth that was halted for more than seven years after a single case of Bajiaolian poisoning.
Chou
Shang-Lin
SL
Department of Emergency Medicine, Taipei Veterans Hospital, Taipei, Taiwan, Republic of China.
Chou
Ming-Yueh
MY
Kao
Wei-Fong
WF
Yen
David H T
DH
Huang
Chun-I
CI
Lee
Chen-Hsen
CH
D000328:Adult; D004365:Drugs, Chinese Herbal / Q000737:chemistry / Q000506:poisoning* / Q000627:therapeutic use; D005260:Female; D006261:Headache / Q000188:drug therapy; D006801:Humans; D009260:Nail Diseases / Q000139:chemically induced / Q000473:pathology; D009262:Nails / Q000187:drug effects* / Q000254:growth & development; D028144:Podophyllum peltatum / Q000737:chemistry*
D004365:Drugs, Chinese Herbal