中国全科医学2013，Vol.16Issue(14)：1661-1662,2.DOI:10.3969/j.issn.1007-9572.2013.05.064
表现为腰腿痛的隐匿性汞中毒二例误诊分析
Occult Mercury Poisoning Manifesting as Lumbago-leg Pains:Analysis of Two Misdiagnosed Cases
岳剑宁 1王琦 1倪家骧1
作者信息
- 1. 100053北京市,首都医科大学宣武医院疼痛科
- 折叠
摘要
Abstract
A series of systemic symptoms such as nerve - psychiatric symptom, damages of oral mucosa and skin, kidney lesions, peripheral nerve lesions may occur in mercury poisoning patients.Drug mercury displacement treatment, the preferred choice for patients with a definite history, has a good effect.In this paper, both of the patients were caused by mercury in cosmetics with skin damages.The symptom manifested as pains in lumbosacral region and extremities, but their histories were occult , thus leading to misdiagnosis at early stage as lumbago - leg pain or unexplained nerve damages, then to misuse of other treatments and to delays of mercury displacement treatment.Most patients with chronic mercury poisoning caused pains as main symptoms are caused by whitemng cosmetics containing mercury.So young females with unexplained lumbosacral pains, especially those with pains symmetrically distributing in limbs accompanied by skin damages, should be asked the causative factors such as cosmetics, latrogenic factors probably leading to mercury exposure, which is conducive to early diagnosis to avoid misdiagnosis and mistreatment.关键词
腰腿痛/汞中毒/误诊Key words
Lumbago -leg pain/ Mercury poisoning/ Diagnostic errors分类
医药卫生引用本文复制引用
岳剑宁,王琦,倪家骧..表现为腰腿痛的隐匿性汞中毒二例误诊分析[J].中国全科医学,2013,16(14):1661-1662,2.
