DC Comics OCT160335 Designer Series Bombshells Poison Ivy Action Figure

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While there is no entirely satisfactory treatment for TCD other than the “tincture of time,” longer-course glucocorticoid therapy, such as triamcinolone or prednisone, has been shown to be effective in relieving symptoms associated with TCD. 8 Short courses of low-dose methylprednisolone (so-called “dose paks”) are too brief and too weak to offer effective relief. Glucocorticoids should be administered using a 2- to 3-week taper starting with 60mg daily (preferably taken in the morning with food to avoid gastritis) for five days that is reduced to 40mg daily for five days and then down to 20mg daily for five days. 9 , 8 Contraindications for glucocorticoids include concurrent infection, peptic ulcer disease, poorly controlled hypertension, congestive heart failure, and diabetes. 9 Dementia can also be made worse with systemic steroids (so-called “steroid psychosis”). 9 Less serious side effects of systemic glucocorticoids include an increase in appetite, retention of fluid (edema), irritability, and insomnia. Adrenal suppression associated with prolonged systemic steroid use is rarely a problem when using a 2- to 3-week course of glucocorticoid therapy for poison ivy. 9 Lofgran T, Mahabal G. Treasure Island, FL: StatPearls Publishing; 2020. Toxicodendron toxicity. StatPearls. Last Update: April 19, 2020. https://www.ncbi.nlm.nih.gov/books/NBK557866/ Accessed 17 Sep 2020. [ Google Scholar] Treatment. The patient in this case report was one of approximately 500,000 cases of TCD reported each year in the United States. 17 The patient’s treatment with oral prednisolone prior to being seen by the dermatology clinic was typical but did not relieve his symptoms, nor did the calamine lotion or oral diphenhydramine. 1 , 13

Fragrant sumac ( Rhus aromatica) is often mistaken for poison oak, and both grow in similar habitats. One difference is that the leaflets of fragrant sumac are attached at a single point, while the terminal leaflet of poison oak has a short stem. Also, the fruit of the fragrant sumac plant is red (figure 10).

https://www.aces.edu/blog/topics/forestry/touch-me-nots-poison-ivy-poison-oak-and-poison-sumac/

A. Low-growing form with short erect stems and a flower cluster from the axil of one compound leaf.

Gladman AC. Toxicodendron dermatitis: poison ivy, oak, and sumac. Wilderness Environ Med. 2006; 17(2):120–128. Accessed September 4, 2020. [ PubMed] [ Google Scholar] Sideshow presents the Poison Ivy Premium Format™ Figure, an irresistible, exclusive DC Comics collectiblethat’s sure to ensnare your senses.Approximately 10 to 15 percent of people will have reactions severe enough to require medical treatment, often in the form of oral or injected low-dose steroids administered by a doctor. Seek medical help if the rash becomes infected, covers a large part of the body, causes swelling of the face or other sensitive areas, or causes difficulty with swallowing or breathing. Although the leaflets are somewhat oval, they vary greatly in shape and size. Their margins vary from perfectly smooth ( Figure 3A) to finely or coarsely toothed ( Figure 3D), to deeply and irregularly lobed ( Figure 3E). Undersides of the leaflets may be finely hairy all over, or just along the veins and veinlets, or may be virtually without hairs. Curtisa G, Lewis AC. Treatment of severe poison ivy: a randomized, controlled trial of long- versus short-course oral prednisone. J Clin Med Res. 2014; 6(6):429–434. [ PMC free article] [ PubMed] [ Google Scholar]

Figure 2. Poison oak looks similar to poison ivy, but the teeth along the edges of the leaflets are more rounded, leaves often are not as shiny, and the form is more shrub-like (photo by John Byrd, bugwood.org). Nevertheless, when in doubt, avoid touching the unknown plant until you have obtained help to identify it. Control of Poison Ivy hog-peanut and ground nut are vines with alternate leaves (like poison-ivy) but with clusters of small whitish to purplish or brownish flowers like those of the sweet pea. The increased atmospheric CO2 level caused by global warming not only promotes the growth of these plants (poison ivy and related plants thrive off of CO 2), but also cause the plants to produce more potent forms of urushiol. The number of these plants is expected to double again when atmospheric CO 2 levels, now at 410ppm, the highest in three million years, reach 560ppm. 3 , 16 Hauser SC. New York, New York: Lyons & Burford Publishing Co.; 1996. Nature’s Revenge. [ Google Scholar]The leaves of poison ivy (figure 1) and poison oak (figure 2) have three leaflets. This is where the adage leaves of three, let it be comes from. The leaflets are commonly 2 to 8 inches long and 3⁄4 to 5 inches wide, and they have scattered, jagged teeth along the edges. Some have a larger tooth or lobe close to the bottom edge, giving them a mitten-like shape.