{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:07:15Z","timestamp":1788826035373,"version":"build-2803163510"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Anagen effluvium, the sudden onset of massive hair loss, usually occurs a few days to weeks after an insult like chemotherapy, radiotherapy, toxin exposure, and alopecia areata. Poisonous plant-induced anagen effluvium is a rare clinical presentation.\n                    <jats:italic toggle=\"yes\">Gloriosa superba<\/jats:italic>\n                    is a creeper that abundantly grows in tropical countries such as Africa and South Asia. It is a cash crop with high colchicine content in all its parts. Accidental or deliberate consumption of\n                    <jats:italic toggle=\"yes\">G. superba<\/jats:italic>\n                    tubers is common in tropical countries due to its easy availability. Within hours after consumption, vomiting, abdominal pain, diarrhea occur followed by bone marrow suppression and multi-organ failure in case of severe poisoning. After weeks of these acute manifestations, most of the patients experience excessive hair loss due to dystrophic anagen effluvium. The management of\n                    <jats:italic toggle=\"yes\">G. superba<\/jats:italic>\n                    poisoning is symptomatic. The hair regrowth is usually spontaneous and complete. We report a case of accidental poisoning of\n                    <jats:italic toggle=\"yes\">G. superba<\/jats:italic>\n                    tubers in a 38-year-old female presenting to a dermatologist with anagen effluvium.\n                  <\/jats:p>","DOI":"10.4103\/ijt.ijt_41_24","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T10:02:07Z","timestamp":1762250527000},"page":"130-132","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Gloriosa superba Poisoning-induced Anagen Effluvium"],"prefix":"10.4103","volume":"17","author":[{"given":"Vinupriya","family":"Sakkaravarthi","sequence":"first","affiliation":[{"name":"Department of Dermatology, All India Institute of Medical Sciences, Ramanathapuram (Temporary Campus), Ramanathapuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Somasundaram","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sowmya","family":"Aithal","sequence":"additional","affiliation":[{"name":"Department of Dermatology, KMCH Institute of Health Sciences and Research, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"R1-20251105","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.fitote.2010.11.008","article-title":"Critical review on medicinally potent plant species:Gloriosa superba","volume":"82","author":"Jana","year":"2011","journal-title":"Fitoterapia"},{"key":"R3-20251105","doi-asserted-by":"crossref","first-page":"604","DOI":"10.4103\/0378-6323.116728","article-title":"Anagen effluvium","volume":"79","author":"Kanwar","year":"2013","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R4-20251105","doi-asserted-by":"crossref","first-page":"e228718","DOI":"10.1136\/bcr-2018-228718","article-title":"Fatal colchicine intoxication by ingestion of Gloriosa superba tubers","volume":"12","author":"Gunasekaran","year":"2019","journal-title":"BMJ Case Rep"},{"key":"R5-20251105","first-page":"579","article-title":"Poisoning with plants and mushrooms in Sri Lanka: A retrospective hospital based study","volume":"32","author":"Fernando","year":"1990","journal-title":"Vet Hum Toxicol"},{"key":"R6-20251105","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1159\/000485749","article-title":"Alopecia and associated toxic agents: A systematic review","volume":"4","author":"Yu","year":"2018","journal-title":"Skin Appendage Disord"},{"key":"R7-20251105","doi-asserted-by":"crossref","first-page":"126","DOI":"10.4103\/0974-7753.90841","article-title":"Hard facts about loose stools \u2013Massive alopecia in Gloriosa superba poisoning","volume":"3","author":"Senthilkumaran","year":"2011","journal-title":"Int J Trichology"},{"key":"R8-20251105","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s40360-015-0029-6","article-title":"Gloriosa superba poisoning mimicking an acute infection- a case report","volume":"16","author":"Premaratna","year":"2015","journal-title":"BMC Pharmacol Toxicol"},{"key":"R9-20251105","doi-asserted-by":"crossref","first-page":"677","DOI":"10.4103\/0378-6323.186486","article-title":"Anagen effluvium secondary to Gloriosa superba ingestion","volume":"82","author":"Bains","year":"2016","journal-title":"Indian J Dermatol Venereol Leprol"}],"container-title":["International Journal of Trichology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_41_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:44:00Z","timestamp":1787838240000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_41_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijt.ijt_41_24","relation":{},"ISSN":["0974-7753","0974-9241"],"issn-type":[{"value":"0974-7753","type":"print"},{"value":"0974-9241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-04-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}