Koyun Mustafa, Akman Sema, Güven Ayfer Gür
Department of Paediatrics, Faculty of Medicine, Akdeniz University, 07070, Antalya, Turkey.
Eur J Pediatr. 2004 Mar;163(3):131-4. doi: 10.1007/s00431-003-1389-2. Epub 2004 Jan 13.
Three adolescents with severe hypertension due to mercury intoxication are presented. Two of them had skin rash, signs and symptoms of central nervous system involvement, peripheral neuropathy and mild-to-moderate proteinuria in addition to hypertension. All three patients had a history of exposure to mercury, the source being broken barometers taken from school laboratories 2-4 months previously. Urine and blood mercury levels were consistent with mercury intoxication. The patients were treated with chelation therapy. One of them died; the others recovered over a period of 1-4 months.
mercury intoxication should be considered in any child with signs and symptoms of hypertension, skin rash, peripheral neuropathy and behavioural changes. The parents and school administrators, as well as paediatricians, should be aware of the potential risks of mercury and should be encouraged to avoid mercury-containing devices in schools and households.
本文介绍了三名因汞中毒导致严重高血压的青少年。其中两名除高血压外，还出现皮疹、中枢神经系统受累的体征和症状、周围神经病变以及轻度至中度蛋白尿。所有三名患者都有汞接触史，来源是2至4个月前从学校实验室获取的破损气压计。尿液和血液中的汞含量与汞中毒相符。患者接受了螯合疗法治疗。其中一人死亡；其他患者在1至4个月内康复。
对于任何出现高血压、皮疹、周围神经病变和行为改变的体征和症状的儿童，都应考虑汞中毒的可能性。家长、学校管理人员以及儿科医生都应意识到汞的潜在风险，并应鼓励他们避免在学校和家庭中使用含汞设备。
