Speckled pigmentation and palmoplantar keratoses leading to the mass detection of chronic arsenic poisoning
Acta Medica Philippina
; : 146-149, 2017.
Article
in En
| WPRIM
| ID: wpr-633399
Responsible library:
WPRO
ABSTRACT
Arsenic is a known human carcinogen and skin manifestations are the earliest and most specific markers of chronic arsenic poisoning. A 43-year-old man from Luzon presented at the Section of Dermatology with a one-year history of hyperkeratotic papules and plaques on the palms and soles. Numerous round hypopigmented macules were scattered on the upper back. Initial 24-hour urine arsenic level was elevated at 288mcg/liter. The patient underwent successful chelation with N-acetylpenicillamine and the palmoplantar keratoses were treated with cryotherapy and topical 20% salicylic acid in white petrolatum. In cooperation with the Department of Health, a comprehensive health and environmental assessment was conducted in the affected communities. This case highlights the role of dermatologists in the diagnosis and management of this public health problem.
Full text:
1
Index:
WPRIM
Main subject:
Penicillamine
/
Petrolatum
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Arsenic
/
Carcinogens
/
Salicylates
/
Public Health
/
Keratoderma, Palmoplantar
/
Cryotherapy
/
Arsenic Poisoning
/
Dermatology
Type of study:
Diagnostic_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Acta Medica Philippina
Year:
2017
Type:
Article