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Chronic Arsenic Poisoning: Target Organ Toxicity, Diagnosis and Treatment

机译:慢性砷中毒:靶器官毒性,诊断和治疗

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Inorganic arsenic compounds, which are found throughout the environment, can cause acute and chronic toxic effects and arsenic has now been recognized as a human carcinogen. Current uses of arsenic compounds are in the glass industry as a clarifier, as a wood preservative (copper arsenite), in the production of semiconductor (gallium arsenide) as a desiccant and defoliant in agriculture, and as a byproduct of the smelting of non-ferrous metals, particularly gold and copper. Human may encounter arsenic in water from wells drilled into arsenic rich ground strata or in water contaminated by industrial or agro chemical waste (Moncure et al., 1992). Exposure via drinking water has been associated with cancer of the skin and various internal organs as well as hyperkeratosis, pigmentation changes and effects on the circulatory and nervous system. Chronic arsenic toxicity due to drinking of arsenic contaminated water has been reported from many countries. Recently, large populations in West Bengal in India and Bangladesh have reported to be affected with arsenic (Smith et al., 2000, Guha Mazumder et al. 1998, Chowdhury et al., 2000). Exposure to arsenic via drinking water is correlated with a significantly elevated risk of skin and bladder cancer (Rossman, 1998; Moore et al., 2002). About 60-90% of soluble arsenic compounds are absorbed from the gastro intestinal tract following ingestion; inhalation exposure may be similar (ATSDR 1990). Absorption through intact skin is negligible. Absorbed pentavalent arsenic is converted to more toxic and carcinogenic trivalent form (Bertolero et al., 1987; Hall, 2002).
机译:在整个环境中发现的无机砷化合物可引起急性和慢性毒性效应,并且现在已经被认为是人类致癌物的砷和砷。砷化合物的目前用途是玻璃工业,作为澄清器,作为木材防腐剂(铜砷),在农业中的半导体(砷化镓)中的生产中,作为农业的干燥剂和脱叶,作为非熔炼的副产品黑色金属,特别是金和铜。人类可能在水中遇到砷中的砷,钻入砷富含地层或受工业或农业化学废物污染的水中(Moncure等,1992)。通过饮用水曝光已经与皮肤癌和各种内脏以及过度瘤病,色素沉着的变化和对循环和神经系统的影响有关。许多国家都报道了由于饮用砷污染水而导致的慢性砷毒性。最近,印度和孟加拉国西孟加拉邦的大型人口据报道,砷(Smith等,2000,Guha Mazumder等,1998,Chowdhury等,2000)。通过饮用水暴露于砷与皮肤和膀胱癌的危险显着升高(Rossman,1998; Moore等,2002)。摄入后,约60-90%的可溶性砷化合物吸收了胃肠肠道;吸入曝光可能是相似的(ATSDR 1990)。完整皮肤吸收可忽略不计。吸收的五价砷转化为更有毒和致癌三价形式(Bertolero等,1987; 2002年)。

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