Speckled pigmentation and palmoplantar keratoses leading to the mass detection of chronic arsenic poisoning
Acta Medica Philippina
;
: 146-149, 2017.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Penicilamina
/
Vaselina
/
Arsênio
/
Carcinógenos
/
Salicilatos
/
Saúde Pública
/
Ceratodermia Palmar e Plantar
/
Crioterapia
/
Intoxicação por Arsênico
/
Dermatologia
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Acta Medica Philippina
Ano de publicação:
2017
Tipo de documento:
Artigo
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