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{
    "pk": 9463,
    "title": "Salicylate Toxicity from Genital Exposure to a Methylsalicylate-Containing Rubefacient",
    "subtitle": null,
    "abstract": "Methylsalicylate-containing rubefacients have been reported to cause salicylate poisoning after ingestion, topical application to abnormal skin, and inappropriate topical application to normal skin. Many over-the-counter products contain methylsalicylate. Topical salicylates rarely produce systemic toxicity when used appropriately; however, methylsaliclyate can be absorbed through intact skin. Scrotal skin can have up to 40-fold greater absorption compared to other dermal regions. We report a unique case of salicylate poisoning resulting from the use of a methylsalicylate-containing rubefacient to facilitate masturbation in a male teenager. Saliclyate toxicity has not previously been reported from the genital exposure to methylsaliclyate.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Salicylism, methylsalicylate, masturbation, rebefacient"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2qq46130",
    "frozenauthors": [
        {
            "first_name": "Trevonne",
            "middle_name": "M.",
            "last_name": "Thompson",
            "name_suffix": "",
            "institution": "The University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Theodore",
            "middle_name": "",
            "last_name": "Toerne",
            "name_suffix": "",
            "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois",
            "department": "None"
        },
        {
            "first_name": "Timothy",
            "middle_name": "B.",
            "last_name": "Erickson",
            "name_suffix": "",
            "institution": "The University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois",
            "department": "None"
        }
    ],
    "date_submitted": "2015-11-13T16:56:24Z",
    "date_accepted": "2015-11-13T16:56:24Z",
    "date_published": "2016-03-03T00:12:33Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9463/galley/5300/download/"
        }
    ]
}