Acute aluminum encephalopathy in a dialysis center caused by a cement mortar water distribution pipe

摘要

Acute aluminum encephalopathy in a dialysis center caused by a cement mortar water distribution pipe.BackgroundIn Cura?ao, distilled seawater from the water plant was used without further purification for hemodialysis for several decades. A new distribution pipe supplying water to a dialysis center on the island was installed in May 1996. To protect it from corrosion, this pipe was lined on the inside with a cement mortar. Because of the aggressiveness of the distilled water, calcium and aluminum (Al) leached from the cement mortar into the water used to prepare dialysate. This caused a possible hard water syndrome and definite acute Al intoxication.