Surgery for a tree surgeon? Acute presentation of contact dermatitis due to Ailanthus altissima.

A tree surgeon presented to hospital with multiple blackening, non-blanching regions of skin on both forearms, following exposure to sap from the 'tree of heaven' (Ailanthus altissima). A referral to plastic surgery was made to consider debridement. Following input from the national poisons centre and dermatology, conservative management with emollient was undertaken. The lesions blistered and exfoliated and were treated with topical steroid and oral antihistamines. Resolving erythema was the only symptom at three weeks. A. altissima, also known as the 'tree of heaven' has known toxins in its bark, leaves and flowers but is also commonly used in folk medicine. Two previous cases of contact dermatitis are reported in the literature but not with acute photo documentation of the lesions or with surgical referral. This demonstrates an important lesson that debridement would not be the appropriate management despite the initial presentation.

Managing tree-of-heaven (Ailanthus altissima) in parks and protected areas: a case study of Rondeau Provincial Park (Ontario, Canada).

The Carolinian Life Zone in southwestern Ontario, Canada is valued because it represents an almost disjunct ecosystem (i.e., one that is typical of the mid-Atlantic United States, rather than the rest of Canada or the nearby states in the United States). The landscape of the Carolinian Life Zone has undergone dramatic transformation, especially in recent decades as agriculture, urbanization, and recreation have intensified. One of the most apparent changes is the invasion of exotic plant species that exacerbates the need for mass restoration efforts. Within the Carolinian Life Zone, Rondeau Provincial Park has experienced an influx of nonindigenous, invasive species in recent years. Tree-of-heaven (Ailanthus altissima) is one example. The infestation is still relatively localized to (mainly) the park, slowly spreading, and manageable as long as something is done immediately. We examined the effects of hand-pulling and mulching, cut stump and glyphosate application, cut stump alone, and the EZJect Capsule Injection System (using glyphosate) on the management of A. altissima within the park. Cut stump and glyphosate treatment was most effective and efficient in its control of young A. altissima shoots because it limits disturbance and has acceptable capital and operating costs. Hand-pulling and mulching was the second choice, mainly because of the risk of additional disturbance that increased shoot densities 1 year after treatment. Cut stump alone was not effective, worsened the infestation, and is not recommended for this species. The EZJect system was effective at managing mature, seed-producing shoots, although the somewhat higher capital costs mean that the system probably should be purchased for management of several invasive tree species to make it more cost-effective.