title: A case of acute thallotoxicosis successfully treated with double-filtration plasmapheresis.
abstract: The authors report a 48-year-old Chinese woman who presented with acute peripheral neuritis with progressive alopecia. Laboratory examinations disclosed a high blood concentration of thallium (97 microg/L) versus a normal value (0.9 microg/L), and she was diagnosed as having acute thallotoxicosis. After her hospitalization, the cutantest of dimercaptopropansulfonate sodium was positive and the patient refused to take Prussian blue because it caused constipation. She rapidly entered remission after assistance via double-filtration plasmapheresis (DFPP), suggesting the potential efficacy of DFPP for thallotoxicosis.
authors.affiliation: Department of Neurology, Xi'jing Hospital, Fourth Military Medical University, No. 15 West Chang'le Road, Xi'an 710032, PR China.
authors.forename: Ying Ran
authors.initials: YR
authors.lastname: Tian
authors.forename: Li Li
authors.initials: LL
authors.lastname: Sun
authors.forename: Wen
authors.initials: W
authors.lastname: Wang
authors.forename: Fong
authors.initials: F
authors.lastname: Du
authors.forename: Ai Xia
authors.initials: AX
authors.lastname: Song
authors.forename: Chun Yan
authors.initials: CY
authors.lastname: Ni
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhu
authors.forename: Qi
authors.initials: Q
authors.lastname: Wan
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D009443:Neuritis / Q000097:blood / Q000139:chemically induced / Q000628:therapy*; D010523:Peripheral Nervous System Diseases / Q000097:blood / Q000628:therapy*; D010956:Plasmapheresis / Q000379:methods*; D013793:Thallium / Q000097:blood / Q000633:toxicity*
chemical_list: D013793:Thallium