Description

A patient with arsenic intoxication should have a careful exposure history to try to identify the source of the heavy metal.


 

Industrial or hobby exposures:

(1) pottery

(2) smelting and casting

(3) colored glass

(4) production of pesticides (see below)

(5) electronics

(6) fossil fuel power plant

(7) treating metals (galvanizing, plating or etching)

(8) soldering or welding

 

Agriculture, forestry or gardening:

(1) insecticides

(2) herbicides

(3) fungicides

(4) algicides

(5) defoliant

 

Environmental:

(1) naturally contaminated ground water

(2) ground water contaminated by adjacent farms or industrial complexes

(3) contaminated air adjacent to an industrial complex

(4) burning, cutting or sanding wood treated with preservatives

 

Diet:

(1) shellfish

(2) seafish

 

Drugs of abuse:

(1) cocaine or opium (with an arsenical as an intentional or accidental contaminant)

(2) moonshine

 

Health-related:

(1) Chinese medicines

(2) folk medicines

(3) herbal cure-alls

(4) arsenic trichloride (Trisenox)

(5) Melarsoprol

 

If no source can be found, then intentional poisoning should be considered.

 


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