[Thallium poisoning which stimulated systemic lupus erythematosus in a child].
We report the case of a preschool boy who, without knowledge of his relatives, ingested thallium sulfate in a dose calculated in 30 mg/kg. He presented a systemic lupus erythematosus-like syndrome and only further alopecia oriented the diagnosis of thallium toxicosis; thallium blood levels were; 37.2 micrograms/dl and in urine: 2330 micrograms/L. Treatment with the chelating agent D. penicillamine was effective, the clinical picture disappeared and the decrease of the thallium levels was observed. Thallium intoxication should be considered in the differential diagnosis of connective tissue disease as the above mentioned.
Montoya-Cabrera
M A
MA
Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social.
Sauceda-García
J M
JM
Escalante-Galindo
P
P
López-Morales
E
E
D000505:Alopecia / Q000139:chemically induced / Q000175:diagnosis; D000931:Antidotes / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000139:chemically induced* / Q000175:diagnosis; D008297:Male; D010396:Penicillamine / Q000627:therapeutic use; D011041:Poisoning / Q000175:diagnosis / Q000188:drug therapy; D012378:Rodenticides / Q000506:poisoning*; D013793:Thallium / Q000506:poisoning*
D000931:Antidotes; D012378:Rodenticides; D013793:Thallium; D010396:Penicillamine; C013707:thallium sulfate
Intoxicación por talio que simuló lupus eritematoso sistémico en un niño.