Eturska M, Obreshkova E
Vutr Boles. 1979;18(2):121-3.
One case of agryria is reported that developed after a long-term administration of adsorgan in a patient with dyspeptic manifestations after cholecystectomy. The developed skin syndrome -- ashen-grey discolorization of the skin of the face and bare parts of the hands and the neurological symptoms -- right monoparesis and vestibular-disturbances with clinical manifestations of chronic cholangiohepatitis, pancreatitis and gastroduodentitis -- provided considerable diagnostic difficulties. The problem of argyria is discussed as a state of intoxication in chronic use of silver-containing medicaments. The necessity of differentiating argyria by the internists is stressed upon in order to avoid it as a complication in the administration of drugs-containing silver, adsorgan resp., being applied in the physician's practice.
报道了1例在胆囊切除术后有消化不良表现的患者长期服用adsorgan后发生的银质沉着症。所出现的皮肤综合征——面部及手部暴露部位皮肤呈灰白色变色,以及神经症状——右侧单瘫和前庭功能障碍,伴有慢性胆管肝炎、胰腺炎和胃十二指肠炎症的临床表现,造成了相当大的诊断困难。文中讨论了银质沉着症作为长期使用含银药物所致中毒状态的问题。强调内科医生鉴别银质沉着症的必要性,以避免其作为含银药物(即adsorgan)在医生临床实践中应用时的并发症。