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Speckled pigmentation and palmoplantar keratoses leading to the mass detection of chronic arsenic poisoning
Acta Medica Philippina ; : 146-149, 2017.
Article in English | WPRIM | ID: wpr-633399
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.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Penicillamine / Petrolatum / Arsenic / Carcinogens / Salicylates / Public Health / Keratoderma, Palmoplantar / Cryotherapy / Arsenic Poisoning / Dermatology Type of study: Diagnostic study Limits: Adult / Humans / Male Language: English Journal: Acta Medica Philippina Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Penicillamine / Petrolatum / Arsenic / Carcinogens / Salicylates / Public Health / Keratoderma, Palmoplantar / Cryotherapy / Arsenic Poisoning / Dermatology Type of study: Diagnostic study Limits: Adult / Humans / Male Language: English Journal: Acta Medica Philippina Year: 2017 Type: Article