Abstract
Introduction: Acute iron salt poisonings are potentially serious poisonings that can be life threatening. The toxicity is mainly digestive, cardiovascular, and hepatic. To make a first assessment of the potential seriousness of the poisoning, it is necessary to calculate (in mg/kg) the dose assumed to be ingested in elemental iron. The Valsalva maneuver during the vomiting effort may be responsible for retinal or subconjunctival hemorrhage. Case Report: We report the case of glasses-shaped petechiae and bilateral subconjunctival hemorrhage following a Valsalva maneuver in the setting of iron poisoning in an 18-year-old female patient whose outcome was favorable. Conclusion: In our case, the dose of iron ingested was not accompanied by symptoms related to intoxication, but rather periorbital petechiae and subconjunctival hemorrhage following the Valsalva maneuver associated with the efforts to vomit.
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