Mercury

Clinical Manifestations

Pulmonary Manifestations

  • Mercury Fume Inhalation-Associated Pneumonitis
    • Epidemiology: not considered a type of metal fume fever
    • Exposure
      • Heated Metal Reclamation Process
        • Home refining of mercury-gold amalgams
        • Reclaiming of mercury from electronic equipment
      • Burning of Mercury Sulfide (Chinese Red Cinnabar)/Mercuric Oxide: for medicinal purposes
    • Physiology
      • High-intensity inhalation of mercury fumes -> exposure is common since mercury fume is not acutely irritating
        • Usually associated with poor ventilation
        • Inhibition of enzymatic and pneumocyte functions
    • Onset: symptoms usually begin 12-24 hrs after mercury fume exposure
    • Clinical
      • Acute Pneumonitis (see Pneumonia, [[Pneumonia]])
      • Fever (see Fever, [[Fever]])
        • May be present in some cases
    • Treatment
      • Chelation Treatment: not effective, but it is often used in mercury fume exposure
  • Mercury Fume Inhalation-Associated Acute Lung Injury-ARDS (see Acute Lung Injury-ARDS, [[Acute Lung Injury-ARDS]]): features similar to above

Dermatologic Manifestations

  • Allergic Contact Dermatitis (see Contact Dermatitis, [[Contact Dermatitis]]): associated with skin exposure to mercury

References

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