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Chronic arsenic poisoning from traditional Chinese medicine

Canadian Medical Association journal (CMAJ), 2019-04, Vol.191 (15), p.E424-E424 [Peer Reviewed Journal]

Joule Inc. or its licensors ;COPYRIGHT 2019 Joule Inc. ;Copyright Joule Inc Apr 15, 2019 ;2019 Joule Inc. or its licensors 2019 ;ISSN: 0820-3946 ;EISSN: 1488-2329 ;DOI: 10.1503/cmaj.181176 ;PMID: 30988044

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Title:
Chronic arsenic poisoning from traditional Chinese medicine
Author: Spilchuk, Vincent, MD MScCH ; Thompson, Aaron, MD MPH
Subjects: Actinic keratosis ; Aged ; Arsenic ; Arsenic - urine ; Arsenic Poisoning - etiology ; Arsenic Poisoning - pathology ; Asian medicine ; Care and treatment ; Case studies ; Chinese herbal medicine ; Chinese medicine ; Complications and side effects ; Dermatitis - pathology ; Diagnosis ; Drugs, Chinese Herbal - adverse effects ; Health aspects ; Heavy metal poisoning ; Heavy metals ; Humans ; Internal Medicine ; Keratosis ; Male ; Medical examination ; Medicine, Chinese Traditional ; Neurologic examination ; Numbness ; Poisoning ; Practice ; Skin cancer ; Toxicity ; Traditional Chinese medicine
Is Part Of: Canadian Medical Association journal (CMAJ), 2019-04, Vol.191 (15), p.E424-E424
Description: A 73-year-old man of Cantonese descent was referred to our department for assessment of a several-month history of worsening fatigue, weakness and numbness in his hands and feet. He reported daily consumption of homemade traditional medicinal "herbal balls" (containing up to 80 ingredients) for 5 years. Physical examination showed hyperkeratosis on the patient's soles and palms, scattered actinic keratosis-appearing lesions over the dorsi of the hands and plantar surfaces, and freckling of the trunk. Neurological examination showed impaired 2-point discrimination and reduced sensory perception to monofilaments in a glove-and-stocking pattern. The patient's reported use of herbal medications prompted testing for heavy metals, including arsenic. Traditional Chinese medicines are recognized as potential sources of arsenic exposure and have been implicated in inadvertent arsenic toxicity.
Publisher: Canada: Joule Inc
Language: English
Identifier: ISSN: 0820-3946
EISSN: 1488-2329
DOI: 10.1503/cmaj.181176
PMID: 30988044
Source: ProQuest One Psychology
GFMER Free Medical Journals
MEDLINE
PubMed Central
Alma/SFX Local Collection
ProQuest Central
DOAJ Directory of Open Access Journals

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Chronic arsenic poisoning from traditional Chinese medicine

Joule Inc. or its licensors ;COPYRIGHT 2019 Joule Inc. ;Copyright Joule Inc Apr 15, 2019 ;2019 Joule Inc. or its licensors 2019 ;ISSN: 0820-3946 ;EISSN: 1488-2329 ;DOI: 10.1503/cmaj.181176 ;PMID: 30988044

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