Mercury intoxication T56.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Mercurialism; Mercury poisoning

Definition
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Mercury poisoning through accumulation of mercury in various organs.

Clinical features
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Mercury hem at the gums ( gingivitis mercurialis), hydrargyrosis, ptyalism (salivation), parotid swelling, psychic excitability (erthism mercurialis), psychasthenia, tremor mercurialis, psellism mercurialis (speech disorders, stammering). S.a. Allergy to mercury, Mercuria lentis.

General therapy
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Avoid the Noxe. Removal of toxins.

Internal therapy
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  • For inorganic mercury: Dimercaprol (e.g. Dimaval Kps.) increases the excretion of the metal, but hardly improves the clinical symptoms.
  • More effective is N-acetyl-D-L-penicillamine (not penicillamine!) 1.0 g/day p.o. over 10 days.
  • For organic mercury: N-acetylhomocysteine. S.a.u. Gingivitis mercurialis.

Literature
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  1. Aberer W (1991) Topical mercury should be banned - dangerous, outmoded, but still popular. On Acad J Dermatol 24: 150-151
  2. Dantzig PI (2003) A new cutaneous sign of mercury poisoning? J Am Acad Dermatol 49: 1109-1111
  3. Granjean P et al (1993) Mercury poisoning. Lancet 342: 991
  4. Karatas GK et al (2002) Mercury poisoning: an unusual cause of polyarthritis. Clin Rheumatol 21: 73-75
  5. Merk HF (1992) Topical use of anorganic mercury compounds. dermatologist 43: 798-799
  6. Rütter A et al (1996) Metal dermatoses II. dermatologist 47: 400-409
  7. Weinstein M, Amber S (2003) Pink ladies: mercury poisoning in twin girls. CMAJ 168: 201

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020