Arsenic Poisoning Part-1
- Arsenic is an element (metalloid) that can combine with organic and
inorganic substances.
- Inorganic arsenic is arsenic alone or combined with inorganic substances
that are very toxic to most biologic systems, including humans.
- Organic arsenic is arsenic combined with organic substances and may be
non-toxic or far less toxic to many biologic systems than inorganic arsenic.
- Symptoms of arsenic poisoning vary with the type and concentration of
the poison; inorganic arsenic may cause abdominal pains, destruction of red blood cells
(hemolysis ), shock, and death quickly, while lower
concentrations and occasionally organic arsenic cause far less severe
symptoms.
- Diagnosis of arsenic poisoning is made by determining inorganic and
organic levels of arsenic in the blood and urine.
- Treatment of arsenic poisoning in acute toxic poisonings needs to begin
quickly; treatment involves removal of arsenic by dialysis, chelating
agents, replacement of red blood cells, and if ingested, bowel cleansing.
- Acute toxic inorganic arsenic poisoning has only a fair to poor outcome;
chronic poisoning has a better outcome.
- Arsenic is found in groundwater, many chemicals, and foods. If arsenic is in
the organic form, it is likely nontoxic or weakly toxic to humans, but
inorganic arsenic can also be found in similar locations and materials and
in high concentrations in industrial processes. In 2013, the FDA made
recommendations that less than 10 parts per billion of arsenic was
acceptable for levels in apple juice. Levels for arsenic have yet to be FDA
approved for rice (still under study), although groundwater levels that
provide arsenic to rice are FDA set at less than 10 parts per billion.
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