Mercury intoxication: Lack of correlation between symptoms and levels

Jyothsna Gattineni, Susan Weiser, Amy M. Becker, Michel Baum

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

The incidence of mercury intoxication has decreased considerably because of stricter public health regulations. However, it has not been completely eliminated and should be considered in a child with unexplained tachycardia, hypertension, mood changes, weight loss, and acrodynia. Mercury intoxication can be difficult to differentiate from pheochromocytoma and Kawasaki's disease. Here, the authors report the case of an 8-year-old boy with history of mercury exposure, signs and symptoms suggestive of mercury intoxication, and good response to chelation therapy, but with only mild increase in urinary mercury levels. This case highlights the fact that urinary mercury levels do not necessarily correlate with the severity of clinical signs and symptoms of mercury intoxication.

Original languageEnglish (US)
Pages (from-to)844-846
Number of pages3
JournalClinical Pediatrics
Volume46
Issue number9
DOIs
StatePublished - Nov 1 2007

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Keywords

  • Acrodynia
  • Catecholamines
  • Elemental mercury
  • Hypertension

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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