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Thabet R. Abbarah, MD; John E. Fredell; George B. Ellenz, MD

JAMA. 1976;236(20):2320.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

WHEN ingested in toxic proportions, ferrous sulfate is known to have a corrosive effect on the gastric mucosa, with necrosis and petechial hemorrhages.^1-3 To the best of our knowledge, there are no previous reports of such effects on the hypopharynx or esophageal mucosa. We report a case of ulceration and swelling of the hypopharynx and cervical esophagus after a single 525-mg ferrous sulfate tablet became lodged in the hypopharynx.

Report of a Case

An 89-year-old woman entered the emergency department complaining of dysphagia after taking a ferrous pill 2 1/2 hours earlier. There was severe edema of the arytenoids and swelling in the aryepiglottic fold and piriform sinus on the left. The vocal cords appeared normal, and no foreign body was visualized. Lateral xerograms of the neck showed considerable swelling of the aryepiglottic folds, arytenoids, and prevertebral soft tissue in the area of the hypopharynx cervical esophagus. A barium . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Otolaryngology (Dr Abbarah) and Radiology (Dr Ellenz), St Francis Hospital, La Crosse, Wis, and the University of Minnesota Medical School, Minneapolis (Mr Fredell).

Footnotes
Reprint requests to La Crosse Clinic, Ltd, 212 S Eleventh, La Crosse, WI 54601 (Dr Abbarah).

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