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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