Kısaarslan Ayşenur Paç, Sözeri Betül, Baştuğ Funda, Gündüz Zübeyde, Yel Sibel, Nalçacıoğlu Hülya, Şahin Nihal, Çiçek Sümeyra Özdemir, Poyrazoğlu Hakan, Düşünsel Ruhan
Departments of Pediatric Rheumatology, Health Sciences University Kayseri Education and Research Hospital, Kayseri.
Department of Pediatric Rheumatology, Health Sciences University, Umraniye Education and Research Hospital.
Turk J Pediatr. 2019;61(5):786-790. doi: 10.24953/turkjped.2019.05.021.
Paç Kısaarslan A, Sözeri B, Baştuğ F, Gündüz Z, Yel S, Nalçacıoğlu H, Şahin N, Özdemir Çiçek S, Poyrazoğlu H, Düşünsel R. Elemental mercury intoxication in 7 patients admitted to a pediatric rheumatology clinic. Turk J Pediatr 2019; 61: 786-790. Mercury (Hg) is a toxic heavy metal that can be classified into three groups; organic (methyl), inorganic (mercuric), and elemental (metallic) mercury(Hg0). Mercury intoxication occurs mostly with the elemental form which can potentially damage the function of any organ, or any subcellular structure. The target organ of mercury is the brain, but peripheral nerve function, renal function, immune function, endocrine and muscle function, and several types of dermatitis have been described. We present 7 patients admitted to a pediatric rheumatology clinic with severe extremity pain. One of the patients had acrodynia, two of them had hypertension, two of them had tubulopathy, and three of them had neuropathy. The treatments were Dimercaptosuccinic acid and metalcaptase. In this report, we emphasize that mercury intoxication should be kept in mind with unexplained extremity pain. Timely diagnosis and treatment may prevent severe morbidity and mortality.
帕奇·基萨尔桑A、索泽里B、巴什图格F、贡杜兹Z、耶尔S、纳尔恰奥卢H、萨欣N、厄兹德米尔·齐切克S、波伊拉佐卢H、杜松塞尔R。7例入住儿科风湿病诊所患者的元素汞中毒。《土耳其儿科学杂志》2019年；61:786 - 790。汞（Hg）是一种有毒重金属，可分为三类：有机汞（甲基汞）、无机汞（汞盐）和元素汞（金属汞，Hg0）。汞中毒大多发生在元素汞形式，它可能潜在损害任何器官或任何亚细胞结构的功能。汞的靶器官是大脑，但也有外周神经功能、肾功能、免疫功能、内分泌和肌肉功能以及几种类型皮炎的相关描述。我们介绍7例入住儿科风湿病诊所且有严重肢体疼痛的患者。其中1例有肢痛症，2例有高血压，2例有肾小管病，3例有神经病变。治疗方法为二巯基琥珀酸和金属巯基酶。在本报告中，我们强调对于不明原因的肢体疼痛应考虑汞中毒。及时诊断和治疗可预防严重的发病和死亡。
