Exanthematic lesion manifested after acute alcohol intoxication: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i12.20257

Keywords:

Exanthema; Alcohol intoxication; Ethanol; Emergency.

Abstract

Introduction: Of the many alcohol-related disorders present in individuals referred to emergency care departments, acute alcohol intoxication is the most frequent, being a clinically harmful condition that usually occurs after drinking a large amount of alcohol. Objective: to explain a case of a patient who, after acute alcohol intoxication, had exanthematic lesions, especially on the face, characteristic of rosacea. Methodology: This article is a clinical case study with a qualitative and descriptive perspective, which consists of a research that, in general, takes place with direct data collection, in which the researcher is the indispensable instrument. Case description: This is a 24-year-old male patient who, after excessive alcohol intake, with symptoms of malaise, asthenia, drowsiness, decreased visual acuity, tachycardia, nausea, headache, pupillary dilation, slurred speech, hypoglycemia and loss of control of body movements, in which the therapy consisted of intravenous hydration, infusion of glucose serum and replacement of thiamines. In addition to these symptoms, the patient presented, in line with the pruritus, morbilliform maculopapular exanthematic lesions on the face, as shown in Image 1, characteristic of rosacea. Conclusion: Acute alcohol intoxication is a clinically harmful condition that usually occurs after drinking a large amount of alcohol. It can manifest itself clinically in several ways and have behavioral, cardiac, gastrointestinal, pulmonary, neurological and metabolic effects, as well as dermatological, as exposed in the present study.

References

Addolorato, G., Armuzzi, A. & Gasbarrini, G. (2002). Alcoholism Treatment Study Group. Abordagens farmacológicas para o manejo da dependência do álcool. Eur Rev Med Pharmacol Sci., 6 (7), 89-97

Ceccanti, M., Attili, A. & Balducci, G. (2006). Hepatite alcoólica aguda. J Clin Gastroenterol, 40 (8), 833-841

Cederbaum, A. I. (2012). Alcohol Metabolism. Clinics in Liver Disease, 16 (4), 667-685.

Hanck, C. & Whitcomb, D. C. (2004). Pancreatite alcoólica. Gastroenterol Clin North Am., 33 (6), 751-765.

Irwin, C., Iudakhina, E., Desbrow, B. & McCartney, D. (2017). Effects of acute alcohol consumption on measures of simulated driving: A systematic review and meta-analysis, Accident Analysis & Prevention, 102 (17), 248-266.

Jacob, A. & Wang, P. (2020). Intoxicação e cognição por álcool: implicações nos mecanismos e estratégias terapêuticas. Frontiers Neurosc., 14 (102), 1-9.

Lopez-Caneda, E., Cadaveira, F. & Campanella, S. (2018). Editorial: alcoolismo no cérebro do adolescente e do jovem. Frente. Psychol., 9 (1), 2724-2730.

Lovinger, D. M. e Roberto, M. (2013). Efeitos sinápticos induzidos pelo álcool. Curr. Principal. Behav. Neurosci. 13 (3), 31–86.

Martínez, M. C. L. D., Martínez, A. D. & Salcedo, V. V. (2002). Eficácia da metadoxina no tratamento da intoxicação aguda por álcool. Journal of International Medical Research, 30 (1), 44-51.

Reynaud, M., Schwan, R., Loiseaux-Meunier, M. N., Albuisson, E. & Deteix, P. (2001). Pacientes admitidos em serviços de emergência por embriaguez: usuários moderados de álcool ou bebedores nocivos? Am J Psychiatry, 158 (5), 96 – 99

Ruiz, G., Bucio, L. & Correa, A. (2001). A metadoxina evita danos produzidos por etanol e acetaldeído em hepatócitos e células estreladas hepáticas em cultura. Pharmachol Res., 44 (8), 431-436.

Sokolovsky, A. W., Rachel, L., Micalizzi, L., White, H. R. & Jackson, K. M. (2020). Alcohol and marijuana co-use: Consequences, subjective intoxication, and the operationalization of simultaneous use. Drug and Alcohol Dependence, 212 (1), 1-10.

Vollrath, M. & Fischer, J. (2017). When does alcohol hurt? A driving simulator study, Accident Analysis & Prevention, 109 (6), 89-98.

Vonguia, L., Leggio, L., Ferrulli, A., Bertini, M., Gasbarrini, G. & Addolorato, G. (2008). Intoxicação aguda por álcool. European Journal of Internal Medicine, 19 (1), 561-567.

Yost, D. A. (2002). Cuidado agudo para intoxicação por álcool: esteja preparado para considerar dilemas clínicos. Postgrad Med., 112 (21), 6-14.

Published

13/09/2021

How to Cite

FIGUEIREDO, B. Q. de .; MELO, A. B. L.; RICARDO NETO, A. .; CARVALHO, B. D. de .; OLIVEIRA, I. P.; MACHADO, S. L. P. Exanthematic lesion manifested after acute alcohol intoxication: case report. Research, Society and Development, [S. l.], v. 10, n. 12, p. e80101220257, 2021. DOI: 10.33448/rsd-v10i12.20257. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20257. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences