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January 1984

Urine Sugar Reagent Tablet Ingestion Causing Gastric and Duodenal Ulceration

Arch Intern Med. 1984;144(1):161-162. doi:10.1001/archinte.1984.00350130189032

• The accidental or intentional ingestion of urine sugar reagent (Clinitest) tablets, a potent caustic, has been reported to cause severe esophageal mucosal damage and stricture formation. Gastric mucosal damage was reported once before in a man who intentionally ingested 26 Clinitest tablets. We encountered a case of accidental Clinitest tablet ingestion causing gastric and duodenal ulceration without esophageal damage, a previously undescribed complication of inadvertent Clinitest tablet ingestion. Our case reemphasizes the role of early fiberoptic endoscopy in the evaluation of caustic ingestions.

(Arch Intern Med 1984;144:161-162)