{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:17:54Z","timestamp":1774880274883,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T00:00:00Z","timestamp":1547510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Ecstasy (MDMA) is a mood\u2010lifting drug with numerous somatic side effects, for example, dehydration or continuous chewing and biting. We describe the case of a young woman who underwent a forensic medical examination for suspected sexual assault. She claimed to have suffered from a memory lapse, and she had a painful swelling of her lips with a plaque\u2010like coating on her lips and buccal mucosa. The attending physician suspected that these findings might have been caused by strong sucking pressure on her lips within the context of a sexual assault. A toxicological examination of a blood specimen verified that she had been under the influence of an extremely high dose of ecstasy (1.456\u00a0mg\/L MDMA and 0.0213\u00a0mg\/L MDA). Pursuant to the forensic medical assessment, the described findings on her lips, and buccal mucosa were interpreted as an allergic and mechanical reaction (through continuous chewing and biting) to ecstasy.<\/jats:p>","DOI":"10.1111\/1556-4029.13999","type":"journal-article","created":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T12:42:41Z","timestamp":1547556161000},"page":"1281-1282","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Swollen Lips After a Night of Partying\u2014An Allergic Reaction to Ecstasy?"],"prefix":"10.1111","volume":"64","author":[{"given":"Ann Sophie","family":"Schr\u00f6der","sequence":"first","affiliation":[{"name":"Department of Legal Medicine University Medical Center Hamburg\u2013Eppendorf Butenfeld 34 22529 Hamburg 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