J. Med. Toxicol. (2017) 13:352–354 DOI 10.1007/s13181-017-0624-6 POSITION STATEMENT ACMT Recommends Against Use of Post-Chelator Challenge Urinary Metal Testing American College of Medical Toxicology Received: 29 June 2017 /Accepted: 30 June 2017 /Published online: 19 July 2017 American College of Medical Toxicology 2017 The Position of the American College of Medical metals, such as chromium, show no clear correlation between Toxicology Is As Follows urine concentrations and physiologic effects. For some expo- sure scenarios, such as prosthetic metal-on-metal hips contain- Metals are ubiquitous in the environment and human popula- ing cobalt or chromium, urine is not the appropriate testing tions are constantly exposed [1–4]. Detectable levels of lead, medium . mercury, and other metals are found in blood and urine of Twenty-four-hour urine metal testing is appropriate under individuals who have no clinical signs or symptoms of toxic- the following conditions: (1) a known significant acute expo- ity and thus no indication for intervention. Reference values sure to a toxic metal, (2) a suspected exposure to a metal and suggest normal body burdens of these metals [1–5]. Urine the presence of symptoms consistent with the exposure, or (3) testing for various metals, in an appropriate clinical context, as part
Journal of Medical Toxicology – Springer Journals
Published: Jul 19, 2017
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