Description

Plants of the family Ranunculacea may cause a phytodermatitis that may be easily mistaken for a cutaneous burn.


 

Species include: Ceratocephalus falcatus and Ranunculus arvensis (corn buttercup)

 

Toxic chemical involved: ranunculin (a glycoside), which breaks down to protoanemonin

 

Risk of exposure:

(1) environmental contact

(2) herbal therapy (for hemorrhoids, rheumatoid conditions, wounds, constipation, psoriasis, asthma, gout)

 

The risk for a skin reaction is greatest if a poultice is prepared and left in place for 24 to 48 hours.

 

Clinical features of skin lesions:

(1) erythema resembling a burn

(2) vesicles and bullae may occur

 

Other concerns:

(1) misdiagnosis of child or elder abuse

(2) irritant gastrointestinal reactions if taken internally

 


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