Kubis N, Talamon C, Smadja D, Said G
Service de Neurologie, Centre Hospitalier Universitaire du Kremlin-Bicêtre.
Rev Neurol (Paris). 1997 Oct;153(10):599-601.
A 20-year-old man developed over three weeks a sensory and painful neuropathy associated with diffuse alopecia. There was motor weakness, and superficial and deep hypoesthesia of the inferior limbs. Deep tendon reflexes were normal. Electrophysiological study mainly showed axonal motor neuropathy. This patient was admitted six weeks after the first symptoms. The clinical picture suggested thallium poisoning, which was confirmed by thallium concentrations in plasma, urine, hair and nails. After search, thallium was identified in a rat poison.
一名20岁男性在三周内出现了与弥漫性脱发相关的感觉性疼痛性神经病变。存在运动无力,下肢有浅感觉减退和深感觉减退。腱反射正常。电生理研究主要显示轴索性运动神经病变。该患者在出现首发症状六周后入院。临床表现提示铊中毒,血浆、尿液、头发和指甲中的铊浓度证实了这一点。经查找,在一种灭鼠药中发现了铊。