title: Acute selenium poisoning by paradise nuts (Lecythis ollaria).
abstract: Two previously healthy women developed nausea, vomiting, headache and dizziness for several days, a massive hair loss about 2 weeks later and a discoloration of the fingernails. Detailed diagnostic procedures did not reveal any pathological results. Therapeutic measures did not show any effect. Thallium and arsenic were within normal range in plasma. Delayed quantitative determination of selenium in blood, however revealed toxic values (in case I: 479 microg/L of serum, 8 weeks after ingestion, and in case II 300 microg/L of serum, 9 weeks after ingestion). In retrospect, a relation to the ingestion of paradise nuts could be established.
authors.affiliation: GIZ-Nord Poisons Centre, Universitätsmedizin Göttingen, Georg-August-Universität, Göttingen, Germany. dmueller@med.uni-goettingen.de
authors.forename: Dieter
authors.initials: D
authors.lastname: Müller
authors.forename: Herbert
authors.initials: H
authors.lastname: Desel
mesh_terms: D000208:Acute Disease; D000328:Adult; D000505:Alopecia / Q000139:chemically induced / Q000473:pathology; D004244:Dizziness / Q000139:chemically induced / Q000503:physiopathology; D005260:Female; D006261:Headache / Q000139:chemically induced / Q000503:physiopathology; D006801:Humans; D031381:Lecythidaceae / Q000737:chemistry*; D008875:Middle Aged; D009262:Nails / Q000187:drug effects / Q000473:pathology; D009325:Nausea / Q000139:chemically induced / Q000503:physiopathology; D009754:Nuts / Q000737:chemistry / Q000506:poisoning*; D010939:Plant Poisoning / Q000097:blood / Q000209:etiology* / Q000503:physiopathology; D012643:Selenium / Q000097:blood / Q000506:poisoning*; D014197:Trees; D014839:Vomiting / Q000139:chemically induced / Q000503:physiopathology
chemical_list: D012643:Selenium