گزارش يك مورد مسموميت با جيوه از بيمارستان كودكان تبريز

A Case Report of Mercury Intoxication from Children Hospital of Tabriz

This paper presents a 10 years old boy with mercury intoxication from Children Hospital of Tabriz. His illness began two months before admission as lower limb and low back pain, maculopapular rash with pruritus in lower abdomen and extremities, severe drooling, and perspiration. Other symptoms included insomnia, weight loss and frequent defication. He had also some neurologic symptoms as myoclonic movements in upper limbs, tremor in chin, transient diplopia and blurred vision. In physical examination, tachycardia and hypertension were found. His history revealed contact with elemental mercury; intoxication was confirmed by demonstration of increased mercury concentrations in blood and urine. Patient was treated with dimercaprol and dipenicilamin. These manifestations called acrodynia, that is a rare kind of idiosyncratic hypersensitivity reactions to mercury. Hypertension that is seen in this disease, served as a guide for diagnosis.