Herrero F, Fernandez E, Gomez J, Pretel L, Canizares F, Frias J, Escribano J B
University Hospital, Murcia, Spain.
J Toxicol Clin Toxicol. 1995;33(3):261-4. doi: 10.3109/15563659509017995.
A case of acute thallium poisoning presenting with sudden abdominal pain, paraesthesiae and irritability is described. The peripheral nervous system was later affected along with loss of hair and the development of streaks (Mee's lines) on the nails of the hands and feet. The diagnosis was established by thallium assays of blood and urine. Thallium was undetectable in the blood by day 70. The manifestations cleared in six months with symptomatic treatment only. We review the characteristics and differential diagnosis of thallium poisoning and stress the importance of a high index of clinical suspicion.
本文描述了一例以突发腹痛、感觉异常和易怒为表现的急性铊中毒病例。随后，外周神经系统受到影响，同时出现脱发以及手足指甲上出现条纹（米氏线）。通过血液和尿液铊检测确诊。到第70天时血液中未检测到铊。仅通过对症治疗，六个月内症状消失。我们回顾了铊中毒的特征和鉴别诊断，并强调了高度临床怀疑的重要性。
