Document Detail


Persistent neuropathy and hyperkeratosis from distant arsenic exposure.
MedLine Citation:
PMID:  16702122     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this case series is to assess long-term sequelae of arsenic exposure in a cohort acutely exposed to arsenic in drinking water from a well dug into a landfill containing arsenical pesticides. Ten of the 13 individuals (or next of kin) in the initial study agreed to participate in the follow-up study. Next of kin provided questionnaire data and released medical information on the three individuals who had died. The remaining seven cohort members were assessed by an interview, questionnaire, detailed physical examination and sensory nerve testing. Available medical records were obtained and reviewed. Sensory testing was performed using an automated electrodiagnostic sensory Nerve Conduction Threshold (sNCT) evaluation. Sensory complaints and electrodiagnostic findings consistent with polyneuropathy were found in a minority (3/7) of subjects 28 years after an acute toxic arsenic exposure. Two of the seven patients examined (1 of 3 with neuropathic findings) also had hyperkeratotic lesions consistent with arsenic toxicity and one of the patients had hyperpigmentation on their lower extremities possibly consistent with arsenic toxicity.
Authors:
Beth A Baker; Andrew R Topliff; Rita B Messing; Deborah Durkin; Jean Small Johnson
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of agromedicine     Volume:  10     ISSN:  1059-924X     ISO Abbreviation:  J Agromedicine     Publication Date:  2005  
Date Detail:
Created Date:  2006-05-16     Completed Date:  2006-08-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9421530     Medline TA:  J Agromedicine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-54     Citation Subset:  IM    
Affiliation:
Occupational and Environmental Medicine, Regions Medical Center, 640 Jackson St, St. Paul, MN 55101, USA. beth.a.baker@healthpartners.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Arsenic / adverse effects*
Arsenic Poisoning / mortality,  physiopathology*
Cohort Studies
Fatal Outcome
Female
Humans
Male
Middle Aged
Neural Conduction / drug effects
Peripheral Nervous System Diseases / chemically induced,  epidemiology*,  pathology
Skin Diseases / chemically induced,  epidemiology*,  pathology
Water Supply
Chemical
Reg. No./Substance:
7440-38-2/Arsenic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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