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Vinupriya S, Gopala krishnan K, Shivapriya R, Arasu PS, Kumar SA, Vijayanarayanan A, Shankar A. Factitialpanniculitis secondary to injected subcutaneous elemental mercury- a case report. JAAD Case Rep 2022; 21:154-156. [PMID: 35242970 PMCID: PMC8866902 DOI: 10.1016/j.jdcr.2022.01.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Yildiz M, Adrovic A, Gurup A, Karabag Yilmaz E, Ozer Y, Koker O, Sahin S, Kiykim E, Canpolat N, Barut K, Kasapcopur O. Mercury intoxication resembling pediatric rheumatic diseases: case series and literature review. Rheumatol Int 2020; 40:1333-1342. [PMID: 32342181 DOI: 10.1007/s00296-020-04589-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Accepted: 04/18/2020] [Indexed: 11/29/2022]
Abstract
Mercury is the only metal that remains in liquid form at the room temperature. It is a very toxic metal and even short-term exposure can lead to poisoning. Mercury intoxication can affect many systems such as skin, cardiovascular, genitourinary, central and peripheral nervous, respiratory, and musculoskeletal system. Consequently, the diagnosis of mercury intoxication can be challenging due to its non-specific and multisystemic presentation. Herein, we report five pediatric cases with mercury intoxication from two families that were initially misdiagnosed as rheumatic disorders. We also performed a literature review about pediatric cases with mercury intoxication to investigate the clinical findings in children, the source of intoxication, and the current treatment preferences. As in our cases, reported patients were previously misdiagnosed as various infectious and/or rheumatic diseases before the diagnosis of mercury intoxication was established. A delay in diagnosis and treatment can cause serious morbidities and even mortality. We report this case series to emphasize the multisystemic presentation of mercury intoxication, and to remind and provide clues for physicians to recognize this rare toxicologic syndrome.
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Affiliation(s)
- Mehmet Yildiz
- Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Amra Adrovic
- Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Aybuke Gurup
- Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Esra Karabag Yilmaz
- Cerrahpasa Medical School, Department of Pediatric Nephrology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Yavuz Ozer
- Cerrahpasa Medical School, Department of Pediatric Endocrinology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Oya Koker
- Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sezgin Sahin
- Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Ertugrul Kiykim
- Cerrahpasa Medical School, Department of Nutrition and Metabolism, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Nur Canpolat
- Cerrahpasa Medical School, Department of Pediatric Nephrology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Kenan Barut
- Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Ozgur Kasapcopur
- Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey.
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