Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Hemodialysis of Acute Arsenic Intoxication With Transient Renal Failure

Hemodialysis of Acute Arsenic Intoxication With Transient Renal Failure Abstract A striking reduction in serum arsenic level was achieved after four hours of hemodialysis in a patient with acute arsenic intoxication and transient renal failure. Quantitative dialysance of arsenic and a comparison of daily urinary excretion of arsenic with amount removed by dialysis suggested that hemodialysis is indicated in the treatment of acute arsenic intoxication if there is concomitant renal failure. In the presence of normal renal function, supportive measures, including dimercaprol (BAL in Oil) therapy, constitute the best available treatment. (Arch Intern Med 136:1303-1304, 1976) References 1. Hoffman I, Gordon A: Arsenic in food: Collaborative comparison of the arsine-molybdenum blue and the silver diethyldithiocarbamate methods . J Ass Offic Anal Chem 46:245, 1963. 2. Arsenic poisoning: Medical staff conference, University of California, San Francisco . Calif Med 118:13-17, 1973. 3. Oehme FW: Mechanisms of heavy metal toxicities . Clin Toxicol 5:151-154, 1972.Crossref 4. Knepshield J, Schriener G, Lowenthal D, et al: Dialysis of poisons and drugs: Annual review . Trans Am Soc Artif Internal Organs 19:609, 1973.Crossref 5. Frejaville JP, Bescol J, Leclere JP, et al: Intoxication aigue par les derives arsenicaux; (a propos de quatre observations personnelles): Troubles de l'hemostase; etude ultramicroscopique de foie et du rein . Ann Med Interne 123:713-722, 1972. 6. Muehrcke RC, Pirani CL: Arsine induced anuria . Ann Intern Med 68:853-863, 1968.Crossref 7. Uldall PR, Khan HA, Ennies JE, et al: Renal damage from industrial arsine poisoning . Br J Med 27:372-377, 1970. 8. Fowler BA, Weissberg JB: Arsine poisoning . N Engl J Med 291:1171-1174, 1974.Crossref 9. Guajardo AS, Garcia AM, Heredia EM, et al: Hamolyse and Akutes Nierenversagen Durch Arsenwasserstoff-Vergiftung . Munch Med Wochenschr 113:471-478, 1971. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Hemodialysis of Acute Arsenic Intoxication With Transient Renal Failure

Loading next page...
 
/lp/american-medical-association/hemodialysis-of-acute-arsenic-intoxication-with-transient-renal-M03RA48HC2

References (12)

Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1976.03630110065017
Publisher site
See Article on Publisher Site

Abstract

Abstract A striking reduction in serum arsenic level was achieved after four hours of hemodialysis in a patient with acute arsenic intoxication and transient renal failure. Quantitative dialysance of arsenic and a comparison of daily urinary excretion of arsenic with amount removed by dialysis suggested that hemodialysis is indicated in the treatment of acute arsenic intoxication if there is concomitant renal failure. In the presence of normal renal function, supportive measures, including dimercaprol (BAL in Oil) therapy, constitute the best available treatment. (Arch Intern Med 136:1303-1304, 1976) References 1. Hoffman I, Gordon A: Arsenic in food: Collaborative comparison of the arsine-molybdenum blue and the silver diethyldithiocarbamate methods . J Ass Offic Anal Chem 46:245, 1963. 2. Arsenic poisoning: Medical staff conference, University of California, San Francisco . Calif Med 118:13-17, 1973. 3. Oehme FW: Mechanisms of heavy metal toxicities . Clin Toxicol 5:151-154, 1972.Crossref 4. Knepshield J, Schriener G, Lowenthal D, et al: Dialysis of poisons and drugs: Annual review . Trans Am Soc Artif Internal Organs 19:609, 1973.Crossref 5. Frejaville JP, Bescol J, Leclere JP, et al: Intoxication aigue par les derives arsenicaux; (a propos de quatre observations personnelles): Troubles de l'hemostase; etude ultramicroscopique de foie et du rein . Ann Med Interne 123:713-722, 1972. 6. Muehrcke RC, Pirani CL: Arsine induced anuria . Ann Intern Med 68:853-863, 1968.Crossref 7. Uldall PR, Khan HA, Ennies JE, et al: Renal damage from industrial arsine poisoning . Br J Med 27:372-377, 1970. 8. Fowler BA, Weissberg JB: Arsine poisoning . N Engl J Med 291:1171-1174, 1974.Crossref 9. Guajardo AS, Garcia AM, Heredia EM, et al: Hamolyse and Akutes Nierenversagen Durch Arsenwasserstoff-Vergiftung . Munch Med Wochenschr 113:471-478, 1971.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1976

There are no references for this article.