Hessl S M, Berman E
J Toxicol Clin Toxicol. 1982 May;19(3):281-7. doi: 10.3109/15563658209025733.
A case of severe peripheral neuropathy after several days of exposure to a pesticide spray containing monosodium methyl arsonate (MSMA) is reported. The clinical manifestations of symmetrical peripheral neuropathy with stocking-glove sensory deficit, decreased position sense, decreased and absent deep tendon reflexes, and muscle wasting are consistent with those described in other cases of arsenic intoxication. The anemia, leukopenia, and bone marrow changes of dyserythropoiesis in this case are also similar to those previously described with arsenic intoxication. The authors discuss the possible contribution of toxicity from exposure to other pesticides.
报告了一例在接触含甲胂酸钠（MSMA）的农药喷雾几天后发生严重周围神经病变的病例。对称性周围神经病变的临床表现，如手套袜子样感觉减退、位置觉减退、深部腱反射减弱或消失以及肌肉萎缩，与其他砷中毒病例中所描述的一致。该病例中的贫血、白细胞减少以及骨髓红细胞生成异常改变也与先前描述的砷中毒情况相似。作者讨论了接触其他农药可能产生的毒性作用。
