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Table 3 Symptoms of 10 patients with late symptoms (>1 year of exposure)

From: Cases of acute mercury poisoning by mercury vapor exposure during the demolition of a fluorescent lamp factory

Patient Age Task Working day Symptoms
A 43 Ordering 30 G: severe fatigue, anorexia, non-specific exertional dyspnea
M: mercurial tremor, coarse jerky movement of the right arm and leg, mild swan neck deformity of the right hand 3rd, 4th, and 5th fingers
P: anxiety, depression, sleeplessness, bad dreams
O: decreased visual acuity, blurred vision,
- Consultation: neuropsychiatry & ophthalmology
B (Case 1) 40 Ordering 30 G: severe fatigue, dizziness, non-specific exertional dyspnea
M: lower limb swelling
D: dark skin patches, epidermal cysts, chloracne like skin lesions, pruritus
P: anxiety, depression, sleeplessness, bad dreams,
- Consultation: neuropsychiatry and dermatology
E 53 Cutting 7 P: sleeplessness, bad dream, loss of memory
F 52 Cutting 7 G: general myalgia
M: thumb muscle weakness and numbness, coarse jerky movement of the lower limb
P: sleeplessness, sleep-talking
G (Case 2) 60 Cutting 15 G: easy fatigue
M: bilateral pain and paresthesia of the feet, swan neck deformity of both fingers without joint pain, coarse jerky movement of the lower limb
P: anxiety, sleeplessness, bad dream
U: residual urine sense, urine leak, weak urine stream, impotence
- Consultation: neuropsychiatry, urology and pain clinic
I 47 Transporting 8 G: easy fatigue
D: hyperpigmentation, urticarial dermatitis in whole body skin
P: sleeplessness, bad dream, anxiety, depression, suicidal tendency
- Consultation: neuropsychiatry and dermatology
J 50 Transporting 9 P: loss of memory, sleeplessness, headache, anxiety
- Consultation: neuropsychiatry
K 46 Transporting 10 D: multiple various sized erythematous patches with itching sense
O: decreased visual acuity, blurred vision
P: headache, anxiety
- Consultation: neuropsychiatry & dermatology
P 55 Cutting 15 G: general myalgia and weakness, non-specific exertional dyspnea, easy fatigue, dizziness
M: coarse jerky movement of lower limb, bilateral pain and paresthesia of the feet
D: skin rash and itching sense, sleeplessness
- Consultation: neuropsychiatry and neurology
S 44 Cutting 6 G: general myalgia, sleeplessness, easy fatigue, dyspepsia, dizziness, gum pain
M: edema of the dorsal aspect of the foot, hand, eyelid and neck
P: anxiety, sleeplessness, bad dreams
U: sensation of incomplete voiding after micturition, urine leak, weak urine flow, impotence
- Consultation: urology
  1. G general symptoms, M neuro-muscular symptoms, P central nervous system symptoms, O visual symptoms, U urologic symptoms