Khodashenas Ezzat, Aelami Mohammadhassan, Balali-Mood Mahdi
Department of Pediatrics, Sheikh Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Pediatrics, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
J Res Med Sci. 2015 Mar;20(3):308-11.
Mercury (Hg) is a toxic agent that evaporates in room temperature and its inhalation may cause poisoning. Due to the nonspecific symptoms, diagnosis is difficult in special circumstances with no initial history of Hg exposure. We report two such cases of Hg poisoning. The patients were two sisters, presenting with pain in extremities, itchy rashes, sweating, salivation, weakness, and mood changes. They have used a compound that contains mercury, for treatment of pedicullosis three months before admission. This compound was purchased from a herbal shop and was applied locally on the scalps for 2 days. Their urinary mercury concentrations were 50 and 70 mg/L. They were successfully treated by D-penicillamine and gabapentin. 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.
汞（Hg）是一种在室温下会挥发的有毒物质，吸入汞可能会导致中毒。由于症状不具特异性，在没有汞接触初始病史的特殊情况下，诊断较为困难。我们报告两例此类汞中毒病例。患者为两姐妹，表现为四肢疼痛、皮疹瘙痒、出汗、流涎、虚弱及情绪改变。她们在入院前三个月使用了一种含汞化合物治疗头虱。该化合物从一家草药铺购得，局部涂抹于头皮两天。她们的尿汞浓度分别为50和70毫克/升。她们通过D-青霉胺和加巴喷丁成功治愈。对于任何出现骨关节疼痛、皮疹红斑和周围神经病变的患者，应考虑汞中毒作为鉴别诊断。
