Objective:

To describe the clinical characteristics of cosmetic botulinum toxin poisoning and identify factors associated with longer hospital stays.

Approach:

Key Findings:

• 145 patients included, median age 37 years, 97.93% female.
• Common injection sites: forehead (26.35%), periocular region (16.77%), jaw (11.98%).
• Frequent manifestations: dizziness (89.66%), dysphagia (85.52%), blurred vision (75.17%), ptosis (68.28%), slurred speech (24.83%).
• Dysphagia, slurred speech, and duration of antitoxin therapy were independently associated with prolonged hospitalization.

Interpretation:

Cosmetic botulinum toxin poisoning is characterized mainly by cranial nerve-related and bulbar manifestations. The nomogram developed may assist in early risk stratification and inpatient management.

Limitations:

• Retrospective design may introduce bias.
• Lack of laboratory confirmation for botulinum toxin.

Conclusion:

Dysphagia, slurred speech, and antitoxin treatment duration are significant predictors of prolonged hospitalization.

Attribution Notice

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.