Medically unexplained myopathy due to ipecac abuse

Psychosomatics
Navid Rashid

Abstract

The use of ipecac, once recommended as an emetic for use in toxic ingestions, has more recently been discouraged for use in home and emergency room settings. It remains readily available, and has been associated with abuse in eating disorders and Munchausen syndrome by proxy. This case discusses an adolescent boy who surreptitiously abused ipecac in the context of distress over parental conflict, and the extensive medical workup undertaken to evaluate unexplained symptoms of proximal muscle weakness, abdominal pain, and, eventually, cardiomyopathy that are sequelae of ipecac toxicity. Clinicians should be alerted to ipecac ingestion with similar presentation.

References

Feb 1, 1985·Archives of Neurology·J E MateerL Gutmann
Dec 5, 1985·The New England Journal of Medicine·E P Palmer, A T Guay
Nov 5, 2003·Pediatrics·UNKNOWN American Academy of Pediatrics Committee on Injury, Violence, and Poison Prevention

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Citations

Jul 6, 2010·Journal of Paediatrics and Child Health·Geoffrey K IsbisterHenry A Kilham
Feb 15, 2013·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·J HöjerUNKNOWN European Association of Poison Centres and Clinical Toxicologists
Nov 27, 2015·Pediatric Neurology·Katharine DoughtyFarah W Brink
May 8, 2007·Emergency Medicine Clinics of North America·David L EldridgeChad Kornegay
Oct 31, 2006·Air Medical Journal·Christopher Wagner, Wilson Bowers
Nov 22, 2019·Physiological Reviews·Lando JanssenSilvie Timmers
Nov 23, 2018·Scientific Reports·Martín-Leonardo Gallegos-GómezAgustín Guerrero-Hernández

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