Follow-up
Complications
- Long-term disability has been noted. Some patients have been shown to have lower intelligence test scores and abnormal electroencephalographic tracings, indicating possible organic damage to the CNS.
Prognosis
- Symptoms gradually disappear as insidiously as they began. Recovery is complete in the vast majority of patients.
Patient Education
- For excellent patient education resources, visit eMedicine's Teeth and Mouth Center. Also, see eMedicine's patient education article Teething.
Miscellaneous
Medicolegal Pitfalls
- Failure to make the correct diagnosis because the prognosis is good with treatment and the mortality rate is 10%
- Failure to perform a 24-hour urine collection because urinary elimination of mercury is unpredictable and may vary from day to day or from hour to hour
More on Acrodynia |
| Overview: Acrodynia |
| Differential Diagnoses & Workup: Acrodynia |
| Treatment & Medication: Acrodynia |
Follow-up: Acrodynia |
| References |
| « Previous Page |
References
Barbacki M. [Acrodynia in Poland after the 2d World War]. Przegl Lek. 1970;26(10):762-4. [Medline].
Boyd AS, Seger D, Vannucci S, Langley M, Abraham JL, King LE Jr. Mercury exposure and cutaneous disease. J Am Acad Dermatol. Jul 2000;43(1 Pt 1):81-90. [Medline].
Kazantzis G. Mercury exposure and early effects: an overview. Med Lav. May-Jun 2002;93(3):139-47. [Medline].
Baughman TA. Elemental mercury spills. Environ Health Perspect. Feb 2006;114(2):147-52. [Medline].
Dinehart SM, Dillard R, Raimer SS, Diven S, Cobos R, Pupo R. Cutaneous manifestations of acrodynia (pink disease). Arch Dermatol. Jan 1988;124(1):107-9. [Medline].
Torres AD, Rai AN, Hardiek ML. Mercury intoxication and arterial hypertension: report of two patients and review of the literature. Pediatrics. Mar 2000;105(3):E34. [Medline].
Graeme KA, Pollack CV Jr. Heavy metal toxicity, Part I: arsenic and mercury. J Emerg Med. Jan-Feb 1998;16(1):45-56. [Medline].
Beck C, Krafchik B, Traubici J, Jacobson S. Mercury intoxication: it still exists. Pediatr Dermatol. May-Jun 2004;21(3):254-9. [Medline].
Mutter J, Yeter D. Kawasaki's disease, acrodynia, and mercury. Curr Med Chem. 2008;15(28):3000-10. [Medline].
Abbaslou P, Zaman T. A Child with elemental mercury poisoning and unusual brain MRI findings. Clin Toxicol (Phila). 2006;44(1):85-8. [Medline].
Ellenhorn MJ, Schonwold S, Ordag G, Wassenberger J, eds. Metals and related compounds. In: Ellenhorn's Medical Toxicology: Diagnosis and Treatment of Human Poisoning. 2nd ed. William & Wilkins: Baltimore, Md; 1997:1532-613.
Selter P. Arch Kinderheilkd. 1926-1927;80:244.
Further Reading
Keywords
acrodynia, mercury poisoning, mercury toxicity, pink disease, Feer disease, Feer's disease, Swift syndrome, Swift's disease, Swift disease, Swift-Feer disease, vegetative neurosis, dermatopolyneuritis, erythredema polyneuritis, trophodermatoneurosis, heavy metal toxicity, heavy metal poisoning, chronic mercury poisoning, chronic heavy metal poisoning
Follow-up: Acrodynia