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Speckled Pigmentation and Palmoplantar Keratoses Leading to the Mass Detection of Chronic Arsenic Poisoning
- Source :
- Acta Medica Philippina. 51
- Publication Year :
- 2017
- Publisher :
- University of the Philippines Manila, 2017.
-
Abstract
- Arsenic is a known human carcinogen and skin manifestations are the earliest and most specific markers of chronic arsenic poisoning. A 43-year-old man from Luzon presented at the Section of Dermatology with a one-year history of hyperkeratotic papules and plaques on the palms and soles. Numerous round hypopigmented macules were scattered on the upper back. Initial 24-hour urine arsenic level was elevated at 288mcg/liter. The patient underwent successful chelation with Nacetylpenicillamine and the palmoplantar keratoses were treated with cryotherapy and topical 20% salicylic acid in white petrolatum. In cooperation with the Department of Health, a comprehensive health and environmental assessment was conducted in the affected communities. This case highlights the role of dermatologists in the diagnosis and management of this public health problem.
- Subjects :
- medicine.medical_specialty
business.industry
Public health
medicine.medical_treatment
Arsenic poisoning
Cryotherapy
General Medicine
Urine arsenic
medicine.disease
Dermatology
medicine.drug_formulation_ingredient
Palmoplantar keratoderma
Chronic arsenic poisoning
medicine
business
Punctate palmoplantar keratoderma
White petrolatum
Subjects
Details
- ISSN :
- 20949278 and 00016071
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Acta Medica Philippina
- Accession number :
- edsair.doi...........6e9023d32f6c0303ad7ae4198681c27b