{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T10:45:13Z","timestamp":1747046713586,"version":"3.38.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p> Lupini beans are legume seeds of the genus Lupinus, consumed in many parts of the world. The main species are Lupinus mutabilis, Lupius angustifolius, and Lupinus albus. The latter is commonly eaten as a snack in Mediterranean countries. The beans are very rich in alkaloids, which give them a bitter taste. One of these alkaloids was shown to cause anticholinergic effects. Lupini beans, if improperly prepared, can cause toxicity manifesting as an anticholinergic syndrome. We present the case of a 50-y-old woman who presented with bilateral mydriasis, mouth dryness, and anxiety. We confirmed that the patient\u00a0consumed partially debittered lupini beans a few hours before presentation. The rest of her physical and ophthalmic examination results were within normal limits. Her symptoms resolved without therapy within 12 h from presentation and were attributed to ingestion of incorrectly prepared lupine\u00a0seeds. <\/jats:p>","DOI":"10.1016\/j.wem.2021.01.003","type":"journal-article","created":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T23:32:07Z","timestamp":1623454327000},"page":"217-220","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Acute Bilateral Fixed Mydriasis Caused by Lupini Bean Intoxication"],"prefix":"10.1177","volume":"32","author":[{"given":"Corinne","family":"Lahoud","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Usek, Lebanon"},{"name":"Eye and Ear Hospital International, Naccache, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najib-Georges","family":"Hanna","sequence":"additional","affiliation":[{"name":"Clinical Fellow in the Faculty of Health Sciences, Department of Surgery, Division of Ophthalmology, Ophthalmic Plastic Reconstructive and Orbital Surgery, McMaster University, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Jalkh","sequence":"additional","affiliation":[{"name":"Eye and Ear Hospital International, Naccache, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georges","family":"Azar","sequence":"additional","affiliation":[{"name":"H\u00f4pital Fondation Adolphe de Rothschild, service du Professeur Cochereau, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"bibr1-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-802778-3.00010-X"},{"key":"bibr2-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1002\/anie.200902139"},{"key":"bibr3-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1097\/00063110-200404000-00014"},{"key":"bibr4-j.wem.2021.01.003","volume-title":"Neuroscience","author":"Purves D.","year":"2001","edition":"2"},{"key":"bibr5-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90003-1"},{"key":"bibr6-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.050295"},{"issue":"4","key":"bibr7-j.wem.2021.01.003","first-page":"1008","volume":"20","author":"Kawasaki A.K.","year":"2014","journal-title":"Continuum (Minneap Minn)"},{"key":"bibr8-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2020.02.005"},{"key":"bibr9-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197306072882306"},{"issue":"10","key":"bibr10-j.wem.2021.01.003","first-page":"789","volume":"40","author":"Jamali S.","year":"2011","journal-title":"Aust Fam Physician"},{"key":"bibr11-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2006.08.004"},{"issue":"4","key":"bibr12-j.wem.2021.01.003","first-page":"233","volume":"59","author":"Awada A.","year":"2011","journal-title":"J\u00a0Med Liban"},{"key":"bibr13-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1590\/1516-3180.2016.0157220517"},{"key":"bibr14-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-013-2088-2"},{"key":"bibr15-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1080\/15563650.2017.1315821"},{"key":"bibr16-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.4172\/2161-0495.1000360"},{"issue":"3","key":"bibr17-j.wem.2021.01.003","first-page":"265","volume":"33","author":"Marquez R.L.","year":"1991","journal-title":"Vet Hum Toxicol"},{"key":"bibr18-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1136\/emj.18.5.412"},{"key":"bibr19-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2006.10.013"},{"key":"bibr20-j.wem.2021.01.003","doi-asserted-by":"publisher","DOI":"10.1039\/C7FO00302A"}],"container-title":["Wilderness &amp; 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