The oral toxicity of resorcinol during pregnancy: a case report.

Bulent Duran, Sinan Gursoy, Meral Cetin, Nihal Demirkoprulu, Yeltekin Demirel, Bilge Gurelik
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引用次数: 24

Abstract

Resorcinol (1,3 benzenediol; m-dihydroxybenzene: resorcin) is a pharmaceutical agent used topically in dermatological treatments such as acne and related skin conditions. It could also be used in combination with the other acne treatment agents such as sulphur. It could be very hazardous if taken orally and there are limited reports on its toxic effects in human. The present work aimed to report a resorcinol poisoning case in which resorcinol was taken accidentally by a woman at 30 weeks of pregnancy. The major clinical findings were unconsciousness, drowsiness, and respiratory failure that required mechanical ventilation along with tonic-clonic seizures and hypothermia. In addition, the laboratory findings were leucocytosis, high bilirubin levels, severe metabolic acidosis, and green-colored urine. The fetus was considered dead 24 h after delivery; however, mother's prognosis was well with supportive management. It could be concluded that the basic approach to the patient with resorcinol poisoning should include the initial stabilization of immediate life-threatening problems and elimination of the toxin. This is the first report on resorcinol poisoning in pregnant women, indicating its major clinical and laboratory findings.

间苯二酚妊娠期口服毒性1例报告。
间苯二酚(1,3苯二醇;间二羟基苯:间苯二酚)是一种药物制剂,局部用于皮肤病学治疗,如痤疮和相关的皮肤状况。它也可以与其他痤疮治疗剂(如硫磺)联合使用。口服可能非常危险,关于其对人体毒性作用的报道有限。目前的工作旨在报告一个间苯二酚中毒的情况下,其中间苯二酚意外服用的妇女在怀孕30周。主要临床表现为意识不清、嗜睡和呼吸衰竭,需要机械通气,同时伴有强直阵挛性发作和体温过低。此外,实验室检查结果为白细胞增多,胆红素水平高,严重代谢性酸中毒,尿液呈绿色。胎儿在分娩后24小时视为死亡;然而,在支持性治疗下,母亲的预后良好。由此可见,间苯二酚中毒患者的基本治疗方法应包括立即危及生命的问题的初步稳定和毒素的消除。这是关于孕妇间苯二酚中毒的第一份报告,指出了其主要的临床和实验室发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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