Beware the tree of heaven! (Ailanthus altissima)

Whiticar, Rebecca; Harvey, Chris J.

doi:10.1136/emj.2008.064808

Cited by 10 publications

(3 citation statements)

References 2 publications

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“…Other reported cases of ACD presenting to ED have included erythema multiforme‐like reactions caused by contact dermatitis to wood, namely rosewood 18 . Other trees such as the “tree of heaven” ( Ailanthus altissima ) have also caused severe ACD requiring ED treatment 19 …”

Section: Discussionmentioning

confidence: 99%

“…18 Other trees such as the "tree of heaven" (Ailanthus altissima) have also caused severe ACD requiring ED treatment. 19 Lai-Kwon et al found that 4% of presentations to ED in a single tertiary centre in Melbourne between 2009 and 2011 were the result of a skin condition. 3 Eczema/dermatitis accounted for 5.7% of dermatological presentations.…”

Section: Discussionmentioning

confidence: 99%

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Presentations to emergency departments in Melbourne, Australia diagnosed as allergic contact dermatitis

et al. 2022

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Background: This study investigated cases diagnosed as allergic contact dermatitis (ACD) in emergency departments (EDs) and management. Methods: A multisite retrospective study of patients attending EDs in metropolitan Melbourne between July 2017 and June 2018 was performed. Using International Statistical Classification of Disease-10 (ICD-10) codes, the Victorian Agency for Health Information generated a list of cases of contact dermatitis (CD). Demographic and clinical data were analysed.Results: Two hundred twenty-eighty patients from 14 different sites were diagnosed with ACD. Hair dyes caused the most cases, and one such case was admitted to hospital.It was apparent from the specified causes that cases of irritant CD were misdiagnosed as ACD.There were significant differences in management with dermatology input, with dermatologists more often advising oral corticosteroids (33.3% vs. 14.5%, P = 0.004) topical corticosteroids (92.9% vs. 38.7%, P < 0.01), emollients (38.1% vs. 20.4%, P = 0.01) and less often advising antihistamines (16.7% vs. 44.6%, P < 0.001). With dermatology input, potent or very potent steroids were more likely to be prescribed (69.3% vs. 11.1%, P < 0.001); without, a mild potency steroid was more likely to be prescribed (63.9% vs. 4%, P = 0.01). Conclusion:Improved understanding, diagnosis and management of CD are needed in EDs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Presentations to emergency departments in Melbourne, Australia diagnosed as allergic contact dermatitis

et al. 2022

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“…A tincture made from the foliage and blossoms caused nausea, vomiting, and muscular relaxation (Millspaugh 1974). Weakness, nausea, vertigo, and skin and digestive tract irritation have been associated with ingestion of plant parts and water contaminated by the fl owers (Fuller and McClintock 1986;Whiticar and Harvey 2009). Although apparently rare, myocarditis has been a consequence of extensive exposure to the sap as observed in a group of workers clearing an area heavily overgrown with Ailanthus (Bisognano et al 2005).…”

Section: Ailanthus Desfmentioning

confidence: 99%