Mercury Intoxication: It Still Exists

@article{Beck2004MercuryII,
  title={Mercury Intoxication: It Still Exists},
  author={Carolyn E. Beck and Bernice R. Krafchik and Jeffrey Traubici and Sheila J Jacobson},
  journal={Pediatric Dermatology},
  year={2004},
  volume={21}
}
Abstract:  A 3‐year‐old boy presented to the Hospital for Sick Children with systemic symptoms and oropharyngeal and peripheral extremity changes suggestive of Kawasaki disease. He was found to have severe hypertension. Investigation for a catecholamine‐secreting tumor was negative. Toxins were considered when the patient's 20‐month‐old brother presented with similar symptoms, and the boys were subsequently diagnosed with elemental mercury poisoning. We review the literature on mercury… 
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32 Citations
Background Citations
8
Results Citations
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32 Citations

Mercury Poisoning as a Kawasaki Mimic: Case Report and Review of Literature -
TLDR
A previously healthy 5 year-old male presented to his pediatrician with intermittent high fevers, agitation, myalgias, and a “sandpaper-like” rash, which was initially a maculopapular, erythematous eruption with truncal distribution and subsequent cephalo-caudal progression.
Mercury Intoxication: Lack of Correlation Between Symptoms and Levels
TLDR
The case of an 8-year-old boy with history of mercury exposure, signs and symptoms suggestive of mercury intoxication, and good response to chelation therapy, but with only mild increase in urinary mercury levels is reported.
Mercury poisoning in two 13-year-old twin sisters
TLDR
In a patient with any kind of bone and joint pain, skin rash erythema and peripheral neuropathy, mercury poisoning should be considered as a differential diagnosis.
Metallic mercury vapour poisoning revisited
TLDR
A 40‐year‐old woman and her two children were hospitalized with a 1‐week history of a generalized lichenoid eruption; however, on returning home, features of acrodynia with digital gangrene developed in the woman, leading to suspicion of heavy metal poisoning.
Metal mercury poisoning in two boys initially treated for brucellosis in Mashhad, Iran
TLDR
Two brothers who presented with pain in their lower extremities, sweating, salivation, weight loss, anorexia and mood changes on admission are reported to emphasize the importance of acrodynia as a differential diagnosis for brucellosis in endemic areas.
Elemental mercury intoxication in 7 patients admitted to a pediatric rheumatology clinic.
TLDR
It is emphasized that mercury intoxication should be kept in mind with unexplained extremity pain and timely diagnosis and treatment may prevent severe morbidity and mortality.
Diagnosis and Evaluation of Metal Poisonings and Chelation Therapy
Elemental mercury exposure: An evidence-based consensus guideline for out-of-hospital management
TLDR
This guideline is to assist poison center personnel in the out-of-hospital triage and initial management of patients with suspected exposures to elemental mercury.
An epidemiological analysis of the 'autism as mercury poisoning' hypothesis
TLDR
The evidence for a causal relationship between autism and mercury is compelling and analogous to epidemiological evidence of the smoking–lung cancer relationship, a mercury–autism relationship is confirmed.
Rethinking treatment of mercury poisoning: the roles of selenium, acetylcysteine, and thiol chelators in the treatment of mercury poisoning: a narrative review
TLDR
A combined approach for mercury poisoning treatment was developed focusing on restoration of selenoprotein function, reduction of oxidative stress and increased mercury elimination, and how the different forms of mercury are impacted by use of chelation and selenium.
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References

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