Speckled Pigmentation and Palmoplantar Keratoses Leading to the Mass Detection of Chronic Arsenic Poisoning

  • Sheena Maureen T. Sy
  • Charissa Mia Salud-Gnilo
  • Ella Joy Nogas-Perez
Keywords: arsenic poisoning, Philippines, palmoplantar keratoderma, hyperkeratotic papules, chelation

Abstract

Arsenic is a known human carcinogen and skin manifestations are the earliest and most specific markers of chronic arsenic poisoning. A 43-year-old man from Luzon presented at the Section of Dermatology with a one-year history of hyperkeratotic papules and plaques on the palms and soles. Numerous round hypopigmented macules were scattered on the upper back. Initial 24-hour urine arsenic level was elevated at 288mcg/liter. The patient underwent successful chelation with Nacetylpenicillamine and the palmoplantar keratoses were treated with cryotherapy and topical 20% salicylic acid in white petrolatum. In cooperation with the Department of Health, a comprehensive health and environmental assessment was conducted in the affected communities. This case highlights the role of dermatologists in the diagnosis and management of this public health problem.

Published
2017-06-30
How to Cite
1.
Sy SMT, Salud-Gnilo CM, Nogas-Perez EJ. Speckled Pigmentation and Palmoplantar Keratoses Leading to the Mass Detection of Chronic Arsenic Poisoning. Acta Med Philipp [Internet]. 2017Jun.30 [cited 2024Mar.29];51(2). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/619
Section
Articles

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