Speckled pigmentation and palmoplantar keratoses leading to the mass detection of chronic arsenic poisoning
Acta Medica Philippina
; : 146-149, 2017.
Article
Dans En
| WPRIM
| ID: wpr-633399
Responsable en Bibliothèque :
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.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pénicillamine
/
Vaseline
/
Arsenic
/
Cancérogènes
/
Salicylates
/
Santé publique
/
Kératose palmoplantaire
/
Cryothérapie
/
Intoxication par l'arsenic
/
Dermatologie
Type d'étude:
Diagnostic_studies
Limites du sujet:
Adult
/
Humans
/
Male
langue:
En
Texte intégral:
Acta Medica Philippina
Année:
2017
Type:
Article